Provider Demographics
NPI:1497709794
Name:HART, JANE A (CRNA)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:A
Last Name:HART
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1 INDEPENDENCE PT
Mailing Address - Street 2:SUITE 212
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4545
Mailing Address - Country:US
Mailing Address - Phone:864-797-6307
Mailing Address - Fax:864-797-6198
Practice Address - Street 1:701 GROVE RD
Practice Address - Street 2:2ND FLOOR ANESTHESIA DEPT.
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-5611
Practice Address - Country:US
Practice Address - Phone:864-455-7111
Practice Address - Fax:864-455-6441
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPRN211367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC430027454OtherMEDICARE RAILROAD
SC576007863OtherBCBS
SCAN0194Medicaid
SC576007863OtherAETNA
SC20020140OtherINDIVIDUAL SELECT HEALTH
SC576007863OtherCIGNA
SC576007863OtherUHC
SC20031911OtherSELECT HEALTH GROUP
SC576007863OtherBLUE CHOICE
SC576007863OtherBCBS