JACKSONVILLE MEDICAL PROFESSIONAL SERVICES LLC
NPI 1073731774
Nurse Anesthetist, Certified Registered in Jacksonville, AL

Active since April 20, 2007
1701 PELHAM RD S, JACKSONVILLE, AL 36265(256) 820-5244 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020, Jun 21, 2018 (3 updates tracked since 2018).

About Jacksonville Medical Professional Services Llc NPPES

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

JACKSONVILLE MEDICAL PROFESSIONAL SERVICES LLC (NPI 1073731774) is a healthcare organization registered as a nurse anesthetist, certified registered in Jacksonville, Alabama and active in the NPI registry since April 2007. The organization lists V Karen Flinn, Vp, as its authorized official.

NPPES Registry Identity

NPI1073731774
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameJACKSONVILLE MEDICAL PROFESSIONAL SERVICES LLC
Location Address1701 PELHAM RD SJacksonville, AL 36265-3353
Mailing Address1701 Pelham Rd SJacksonville, AL 36265-3353
Organization SubpartNo
Authorized OfficialV Karen FlinnVp · (214) 473-3773
Enumeration DateApril 20, 2007
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPI 1073731774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedSurgeryTaxonomy 208600000X
1701 PELHAM RD S, Jacksonville, AL 36265

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

Emergency Medicine
1701 PELHAM RD S
JACKSONVILLE, AL 36265
Nurse Practitioner (Family)
1701 PELHAM RD S
JACKSONVILLE, AL 36265
Nurse Anesthetist, Certified Registered
1701 PELHAM RD S
JACKSONVILLE, AL 36265
Emergency Medicine
1701 PELHAM RD S
JACKSONVILLE, AL 36265
Nurse Anesthetist, Certified Registered
1701 PELHAM RD S
JACKSONVILLE, AL 36265
General Acute Care Hospital
1701 PELHAM RD S
JACKSONVILLE, AL 36265
Nurse Anesthetist, Certified Registered
1701 PELHAM RD S
JACKSONVILLE, AL 36265
Radiology (Diagnostic Radiology)
1701 PELHAM RD S
JACKSONVILLE, AL 36265

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 Jacksonville Medical Professional Services LLC's NPI number?

The NPI number for Jacksonville Medical Professional Services LLC is 1073731774. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Jacksonville Medical Professional Services LLC located?

Jacksonville Medical Professional Services LLC is located at 1701 Pelham Rd S, Jacksonville, AL 36265. The listed phone number is (256) 820-5244.

What is Jacksonville Medical Professional Services LLC'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 Jacksonville Medical Professional Services LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.