Jacquelyn Kavanaugh is a Norfolk, Virginia based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Jacquelyn Kavanaugh is 24049818 for Anesthesia Administration in Virginia. Her current practice location is 600 Gresham Dr, Norfolk. Patients can reach her at 757-668-3871. Jacquelyn Kavanaugh is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1164430989. Jacquelyn Kavanaugh is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Jacquelyn Kavanaugh speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Female
Practice Address:
600 Gresham Dr, Norfolk, Virginia, 23507-1904
Phone:
757-668-3871
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1164430989
NPI Enumeration Date:
04 Aug, 2006
NPI Last Update On:
11 Mar, 2009
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacquelyn Kavanaugh are as mentioned below.
License Number
Specialization
State
Status
24049818
Anesthesia Administration
Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacquelyn Kavanaugh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
009551590
Medicaid
Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1221 Westover Ave Apt B, Norfolk, Virginia
Zip:
23507-1360
Phone Number:
757-652-9741
Fax Number:
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Patients can reach Jacquelyn Kavanaugh at 600 Gresham Dr, Norfolk, Virginia or can call to book an appointment on 757-668-3871.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.