Provider Demographics
NPI:1912016882
Name:CHERRY, JAMIE PAULETTE (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:PAULETTE
Last Name:CHERRY
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:10849 S APPLERIDGE LN
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-8908
Mailing Address - Country:US
Mailing Address - Phone:913-839-3287
Mailing Address - Fax:
Practice Address - Street 1:631 SW HORNE, SUITE 209
Practice Address - Street 2:ANESTHESIA SERVICES MEDICAL GROUP OF TOPEKA
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606
Practice Address - Country:US
Practice Address - Phone:785-295-8149
Practice Address - Fax:785-295-5529
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2020-06-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN109107163W00000X
PARN306469L163W00000X
NC187465163W00000X
KS55625367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse