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4JS LLC NPI 1144732736


NPI Information

NPI: 1144732736
Provider Name: 4JS LLC
Classification: Registered Nurse - 163WR0006X
Entity Type: Organization

Specialization: Registered Nurse First Assistant

Address:
625 E BROADWAY AVE
JACKSON, WY
ZIP 83001
Phone: (307) 733-2443
Get Directions

4JS LLC is a registered nurse first assistant registered nurse in Jackson, WY. The provider is a perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. 4JS LLC NPI is 1144732736. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

625 E BROADWAY AVE
JACKSON, WY
ZIP 83001-642
Phone: (307) 733-2443
Fax: (307) 733-6912

The provider's authorized official is Justin Tattersall .
The authorized official title is President and has the following contact phone number (307) 413-0437.

The enumeration date for this NPI number is 11/3/2017 and was last updated on 10/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WR0006XRegistered NurseRegistered Nurse First Assistant30955WYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130955OTHERNURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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