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MR. ANDREW CRAIG JACKSON CRNA
NPI 1174516132
Nurse Anesthetist, Certified Registered in Jefferson, NC

Active since August 25, 2005
200 HOSPITAL AVE, JEFFERSON, NC 28640(336) 846-0719 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Andrew Craig Jackson Crna NPPES

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

MR. ANDREW CRAIG JACKSON CRNA (NPI 1174516132) is an individual nurse anesthetist, certified registered in Jefferson, North Carolina, licensed in North Carolina (085415) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1174516132
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. ANDREW CRAIG JACKSONCredential: CRNA
Location Address200 HOSPITAL AVEJefferson, NC 28640-9244
Mailing Address244 Falls Creek RdTodd, NC 28684-9219 · (336) 877-2047 · Fax (336) 877-5545
Phone(336) 846-0719
Sole ProprietorNo
Enumeration DateAugust 25, 2005
Last NPPES UpdateOctober 28, 2008
✔ NPI 1174516132 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 NC · 085415
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.
200 HOSPITAL AVE, Jefferson, NC 28640
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Other Identifiers 2

Medicare OSCAR/certification2628918
Medicaid8049903NC

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.

KATHERINE A AVERILL MD
Obstetrics & Gynecology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7433
HIGH COUNTRY FAMILY MEDICINE, PA
Family Medicine
200 HOSPITAL AVE, SUITE 7
JEFFERSON, NC 28640
Ashe County (336) 846-7238
SHARON PATRICIA DILLEY MD
Internal Medicine
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7433
DR. JOHN ALVAR SUNDIN M.D.
Surgery
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Ashe County (336) 846-8939
DR. RONALD WILLIAM BENFIELD MD
Orthopaedic Surgery
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7101
MOUNT JEFFERSON FAMILY MEDICINE, P.A.
Family Medicine
200 HOSPITAL AVE, SUITE 3
JEFFERSON, NC 28640
Ashe County (336) 846-7433
ASHE MEMORIAL HOSPITAL INC
Specialist/Technologist, Pathology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7101
CHARLES W JONES MD PA ENDOSCOPY SUITE
Clinic/Center (Ambulatory Surgical)
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Ashe County (336) 246-7779

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 Andrew Jackson's NPI number?

The NPI number for Andrew Jackson is 1174516132. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Andrew Jackson located?

Andrew Jackson practices at 200 Hospital Ave, Jefferson, NC 28640. The listed phone number is (336) 846-0719.

What is Andrew Jackson'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 Andrew Jackson was last updated on October 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.