Provider Demographics
NPI:1427389600
Name:JOZIC, JAIME WALTHER (CRNA MSN RN BSN)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:WALTHER
Last Name:JOZIC
Suffix:
Gender:F
Credentials:CRNA MSN RN BSN
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Mailing Address - Street 1:700 ACKERMAN RD STE 570
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1579
Mailing Address - Country:US
Mailing Address - Phone:614-293-8487
Mailing Address - Fax:
Practice Address - Street 1:410 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210
Practice Address - Country:US
Practice Address - Phone:614-293-8487
Practice Address - Fax:614-293-8153
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2018-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CRNA.11247367500000X
OH083865367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered