Provider Demographics
NPI:1295023992
Name:KARPAN, JEAN M (CRNA)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:M
Last Name:KARPAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:JEAN
Other - Middle Name:G
Other - Last Name:MELVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 20452
Mailing Address - Street 2:YPS - CREDENTIALING
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-0452
Mailing Address - Country:US
Mailing Address - Phone:614-442-2406
Mailing Address - Fax:614-442-2410
Practice Address - Street 1:1100 ANDRE ST STE 300
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70563-2159
Practice Address - Country:US
Practice Address - Phone:337-364-9225
Practice Address - Fax:337-364-6094
Is Sole Proprietor?:No
Enumeration Date:2011-07-14
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06512367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2162713Medicaid
LA1295023992OtherBCBS OF LA
3C591CW36Medicare PIN