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ROBERT WALLACE CRNA
NPI 1003950288
Nurse Anesthetist, Certified Registered in Jackson, TN

Active since February 19, 2007
367 HOSPITAL BLVD, JACKSON, TN 38305(731) 661-2227 Get Directions Write a Review

NPPES record last updated: November 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Wallace Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT WALLACE CRNA (NPI 1003950288) is an individual nurse anesthetist, certified registered in Jackson, Tennessee, licensed in Tennessee (53447) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1003950288
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameROBERT WALLACECredential: CRNA
Location Address367 HOSPITAL BLVDJackson, TN 38305-2080
Mailing Address367 Hospital BlvdJackson, TN 38305-2080 · (731) 661-2227
Phone(731) 661-2227
Sole ProprietorNo
Enumeration DateFebruary 19, 2007
Last NPPES UpdateNovember 4, 2011
✔ NPI 1003950288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TN · 53447
Definition
(1) A licensed 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. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
367 HOSPITAL BLVD, Jackson, TN 38305
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Other Identifiers 1

Medicare ID-Type Unspecified3601577

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEMATOLOGY ONCOLOGY ASSOCIATES, PC
Clinic/Center (Oncology)
367 HOSPITAL BLVD, 4TH FLOOR
JACKSON, TN 38305
Madison County (731) 234-2425
JACKSON TENNESSEE HOSPITAL COMPANY LLC
General Acute Care Hospital
367 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (731) 661-2000
CHARITY REASONS NP
Nurse Practitioner
367 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (731) 661-2345
ATLAS EMERGENCY PHYSICIANS, PLLC
Emergency Medicine
367 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (469) 401-2386
RED EMBERS EMERGENCY PHYSICIANS, LLC
Emergency Medicine
367 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (469) 401-2386
DR. ROBERT D TURNER M.D.
Emergency Medicine
367 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (731) 661-2000
SHANT HAGOP GARABEDIAN DO
Emergency Medicine
367 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (731) 661-2095
HOSPITALISTS OF JACKSON LLC
Internal Medicine
367 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (731) 661-2185

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Wallace's NPI number?

The NPI number for Robert Wallace is 1003950288. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Robert Wallace located?

Robert Wallace practices at 367 Hospital Blvd, Jackson, TN 38305. The listed phone number is (731) 661-2227.

What is Robert Wallace's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Robert Wallace was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.