Ivan Jesse Jackson CRNA

  • NPI 1942525373
According to our database, the NPI number for Ivan Jesse Jackson CRNA is 1942525373 and activated since 14 years ago. Ivan Jesse Jackson CRNA is an individual provider who specializes in Nurse Anesthetist, Certified Registered, and the primary practice location is 3705 Medical Pkwy, Austin, TX 78705. You can also contact Ivan Jesse Jackson CRNA via telephone number is (512) 454-2554. Provider NPI information was last updated on 06/17/2020.

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Overview of Ivan Jesse Jackson CRNA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/29/2010
  • Last updated: 06/17/2020

Primary Scrop of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: AP120069
  • License State: TX

Provider Mailing Address

  • Address: Po Box 840853
    Dallas, TX 75284
  • Phone: 972-233-1999
  • Fax: 972-233-3666

Provider Practice Location

  • Address: 3705 Medical Pkwy
    Suite 570
    Austin, TX 78705
  • Phone: 512-454-2554
  • Fax:

Scope of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 796903
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 07634727
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MS
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ivan Jesse Jackson CRNA?
  • A: The npi number for Ivan Jesse Jackson CRNA is 1942525373.
  • Q: What are Ivan Jesse Jackson CRNA's specialties?
  • A: Ivan Jesse Jackson CRNA's specialties are Nurse Anesthetist, Certified Registered and different specialities.
  • Q: What is the medical license for Ivan Jesse Jackson CRNA?
  • A: The medical license number for Ivan Jesse Jackson CRNA is AP120069 and issued in TX in USA.
  • Q: Where is Ivan Jesse Jackson CRNA practice location?
  • A: Ivan Jesse Jackson CRNA is practicing at 3705 Medical Pkwy, Austin, TX 78705.
  • Q: How to contact Ivan Jesse Jackson CRNA?
  • A: You can contact Ivan Jesse Jackson CRNA via 512-454-2554.
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