JIMMY R JACKSON CRNA
NPI 1164449658
Nurse Anesthetist, Certified Registered in Tupelo, MS

Active since July 17, 2006
830 SOUTH GLOSTER, TUPELO, MS 38801(662) 377-4394(662) 377-7045 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jimmy R Jackson Crna NPPES

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

JIMMY R JACKSON CRNA (NPI 1164449658) is an individual nurse anesthetist, certified registered in Tupelo, Mississippi, licensed in Mississippi (R539929) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1164449658
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJIMMY R JACKSONCredential: CRNA
Location Address830 SOUTH GLOSTERTupelo, MS 38801
Mailing AddressPo Box 3294Tupelo, MS 38803-3294 · (662) 377-4394 · Fax (662) 377-7045
Fax(662) 377-7045
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 9, 2010
NPI 1164449658 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 MS · R539929
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.

830 SOUTH GLOSTER, Tupelo, MS 38801

Other Identifiers 4

Medicaid00110004MS
Medicare UPINR34681
Medicaid009936743AL
Medicare ID-Type Unspecified430001934MS

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 SOUTH GLOSTER
TUPELO, MS 38801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164449658, enumerated as an "individual" on July 17, 2006.

The provider is located at 830 SOUTH GLOSTER TUPELO, MS 38801 and the phone number is (662) 377-4394.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.