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JCKM, LLC ABBE C FANNIN SOLE MBR
NPI 1205277456
Nurse Anesthetist, Certified Registered in El Paso, TX

Active since July 16, 2013
1416 GEORGE DIETER DR, EL PASO, TX 79936(915) 849-5104 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jckm, Llc Abbe C Fannin Sole Mbr NPPES

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

JCKM, LLC ABBE C FANNIN SOLE MBR (NPI 1205277456) is a healthcare organization registered as a nurse anesthetist, certified registered in El Paso, Texas and active in the NPI registry since July 2013. The organization lists Abbe C Fannin, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1205277456
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameJCKM, LLC ABBE C FANNIN SOLE MBR
Location Address1416 GEORGE DIETER DREl Paso, TX 79936-7601
Mailing AddressPo Box 41Muncie, IN 47308-0041 · (765) 284-0493 · Fax (765) 284-2434
Phone(915) 849-5104
Organization SubpartNo
Authorized OfficialAbbe C FanninOwner/provider · (765) 284-0493
Enumeration DateJuly 16, 2013
Last NPPES UpdateAugust 26, 2013
✔ NPI 1205277456 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 TX · 647336
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.
1416 GEORGE DIETER DR, El Paso, TX 79936
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

CLINICAL PHYSICIANS PATHOLOGY LAB
Clinical Medical Laboratory
1416 GEORGE DIETER DR
EL PASO, TX 79936
El Paso County (915) 849-5141
EMERGENCY CARE PROVIDERS PA
Emergency Medicine
1416 GEORGE DIETER DR
EL PASO, TX 79936
El Paso County (915) 849-5143
EL PASO COUNTY HOSPITAL DISTRICT
Pharmacy (Institutional Pharmacy)
1416 GEORGE DIETER DR
EL PASO, TX 79936
El Paso County (915) 200-2670
EAST EL PASO PHYSICIANS GROUP, INC.
Radiology (Diagnostic Radiology)
1416 GEORGE DIETER DR
EL PASO, TX 79936
El Paso County (915) 598-4240
ABBE C FANNIN CRNA
Nurse Anesthetist, Certified Registered
1416 GEORGE DIETER DR
EL PASO, TX 79936
El Paso County (915) 494-4588
MS. AMBER MONIQUE HERRERA RN
Registered Nurse
1416 GEORGE DIETER DR
EL PASO, TX 79936
El Paso County (915) 200-2700
GEORGE L. CALERO MD
Emergency Medicine (Emergency Medical Services)
1416 GEORGE DIETER DR
EL PASO, TX 79936
El Paso County (915) 598-4240
PHYSICIANS SPECIALTY HOSPITAL OF EL PASO EAST LP
General Acute Care Hospital
1416 GEORGE DIETER DR
EL PASO, TX 79936
El Paso County (915) 598-4240

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 Jckm, LLC Abbe C Fannin Sole Mbr's NPI number?

The NPI number for Jckm, LLC Abbe C Fannin Sole Mbr is 1205277456. It was assigned to this organization in the NPPES registry on July 16, 2013.

Where is Jckm, LLC Abbe C Fannin Sole Mbr located?

Jckm, LLC Abbe C Fannin Sole Mbr is located at 1416 George Dieter Dr, El Paso, TX 79936. The listed phone number is (915) 849-5104.

What is Jckm, LLC Abbe C Fannin Sole Mbr'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 Jckm, LLC Abbe C Fannin Sole Mbr was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.