Provider Demographics
NPI:1750567426
Name:DURDEN, JERRI SHAY KELLY (CRNA)
Entity type:Individual
Prefix:
First Name:JERRI SHAY
Middle Name:KELLY
Last Name:DURDEN
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:SHAY
Other - Middle Name:KELLY
Other - Last Name:STRICKLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:211 GA HIGHWAY 46
Mailing Address - Street 2:
Mailing Address - City:REGISTER
Mailing Address - State:GA
Mailing Address - Zip Code:30452-3876
Mailing Address - Country:US
Mailing Address - Phone:912-531-1799
Mailing Address - Fax:
Practice Address - Street 1:4700 WATERS AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6220
Practice Address - Country:US
Practice Address - Phone:912-350-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-12
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN144422367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered