Provider Demographics
NPI:1407044571
Name:PILVER, JERE SLOTE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:JERE
Middle Name:SLOTE
Last Name:PILVER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 S DREXEL FARM DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-8755
Mailing Address - Country:US
Mailing Address - Phone:828-891-6309
Mailing Address - Fax:
Practice Address - Street 1:43 S DREXEL FARM DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-8755
Practice Address - Country:US
Practice Address - Phone:828-891-6309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-13
Last Update Date:2007-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC211651367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered