IndividualActive
Shirley Jautz, CRNA
NPI 1003007329 · Certified Registered Nurse Anesthetist · Poplar Bluff, MO
Provider details
- NPI number
- 1003007329
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 129615 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
221 Physicians Park
Poplar Bluff, MO 63901-3956
Phone: (573) 727-9080
Approximate (ZIP-level) locationGet directions
Mailing address
5983 US Highway 63
Pomona, MO 65789-9538
Registry dates
- Enumerated
- 2007-08-05
- Last updated
- 2014-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.