Provider Demographics
NPI:1518743053
Name:STRICKLEY, JEFFREY TREY (CRNA)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:TREY
Last Name:STRICKLEY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 S HEATH RD APT 2077
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-4829
Mailing Address - Country:US
Mailing Address - Phone:817-793-4170
Mailing Address - Fax:
Practice Address - Street 1:250 S HEATH RD APT 2077
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93314-4829
Practice Address - Country:US
Practice Address - Phone:817-793-4170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002208367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered