Provider Demographics
NPI:1902552995
Name:JA BILLINGS CERTIFIED REGISTERED NURSE ANESTHETIST PLLC
Entity Type:Organization
Organization Name:JA BILLINGS CERTIFIED REGISTERED NURSE ANESTHETIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:BILLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:404-791-8711
Mailing Address - Street 1:2 N 6TH PL APT 5T
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-3392
Mailing Address - Country:US
Mailing Address - Phone:404-791-8711
Mailing Address - Fax:
Practice Address - Street 1:2 N 6TH PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-3299
Practice Address - Country:US
Practice Address - Phone:404-791-8711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty