Jennifer Larae Heavenston is a Stockton, California based nurse anesthetist with 15 years of experience as Anesthesia Administration. She completed she graduation in 2010. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jennifer Larae Heavenston is 4011 for Anesthesia Administration in California. Her current practice location is 1805 N California St Ste 101a, Stockton. Patients can reach her at 209-948-3241. Jennifer Larae Heavenston is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1700170388. Jennifer Larae Heavenston 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:
Jennifer Larae Heavenston 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
Experience:
15+ years
Medical School Attended:
Other
Graduation Year:
2010
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
1805 N California St Ste 101a, Stockton, California, 95204-6032
Phone:
209-948-3241
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.
PAC ID:
3779752142
Enrollment ID:
I20110802000240
NPI Number:
1700170388
NPI Enumeration Date:
01 Jun, 2011
NPI Last Update On:
17 Apr, 2025
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Larae Heavenston are as mentioned below.
License Number
Specialization
State
Status
4011
Anesthesia Administration
California
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jennifer Larae Heavenston has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Permanente Medical Group Inc (8921910225)
7522
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1800 Harrison St, 7th Floor Oakland, California
Zip:
94612-3466
Phone Number:
510-625-6262
Fax Number:
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Patients can reach Jennifer Larae Heavenston at 1805 N California St Ste 101a, Stockton, California or can call to book an appointment on 209-948-3241.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.