Provider Demographics
NPI:1619333168
Name:JABLONSKI, WHITNEY TERESA (CRNA)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:TERESA
Last Name:JABLONSKI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:TERESA
Other - Last Name:ONDRUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4118 STARR AVE
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-2444
Mailing Address - Country:US
Mailing Address - Phone:419-349-0752
Mailing Address - Fax:
Practice Address - Street 1:4118 STARR AVE
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-2444
Practice Address - Country:US
Practice Address - Phone:419-349-0752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-13
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.370537-1163W00000X
MI4704292462163W00000X
IN28213496A163W00000X
OHCOA.18600-NA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse