Mr. Jesse D Vincent
Mr. Jesse D Vincent is a Certified Registered Nurse Anesthetist (CRNA) in Boise, Idaho. Graduated from University of South Carolina School of Medicine in 2013, 13 years ago. Practices with Anesthesia Associates of Boise, PA, a 182-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and South Carolina.
- Years since qualifying
- 13
- Trained at
- University of South Carolina School of Medicine
- Licensed in
- ID, SC
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
2537 W State St Ste 200Boise, ID 83702-2200
Phone: (801) 641-6510
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2506 Park St, Columbia, SC 29201-1856 — (801) 641-6510
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence N-45970 (ID) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence RN.215484R (SC) |
Record details
| NPI number | 1033554183 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 2, 2013 |
| Last updated in NPPES | March 17, 2018 |
| Mailing address | 2537 W State St Ste 200, Boise, ID 83702-2200 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduated | 2013 (13 years in practice) |
| Group practice | Anesthesia Associates Of Boise, P.A. — 182 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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