Provider Demographics
NPI:1013274265
Name:COMPTON, JENNIFER A (CRNA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:COMPTON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:A
Other - Last Name:BIRNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:7600 W SUNRISE BLVD
Mailing Address - Street 2:MAIL STOP-PL-31
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4115
Mailing Address - Country:US
Mailing Address - Phone:954-838-2588
Mailing Address - Fax:954-514-3979
Practice Address - Street 1:1053 MEDICAL CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-8260
Practice Address - Country:US
Practice Address - Phone:954-838-2588
Practice Address - Fax:954-514-3979
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9173131367500000X
FLARNP9173131367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered