Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLARK JACKSON
ActiveCLARK JACKSON is a Certified Nurse Anesthetist (CRNA) healthcare provider located in LINCOLN, Nebraska. NPI 1053768945 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · LINCOLN, NE
Registration Details
- NPI Number
- 1053768945
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2016 (10.227815472423 yrs)
- Last Updated
- May 20, 2016
- License
-
70693 (NE)
Practice Information
- Address
-
2500 S 60TH ST APT 21LINCOLN, NE, 685063579Browse NE providers · Browse ZIP 68506
- Phone
- 4026132633
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in LINCOLN, NE
| Name | Credential | NPI |
|---|---|---|
| RONALD E HUNKINS | CRNA | 1659348464 |
| CAMMI L FITCH | CRNA | 1396712154 |
| SUSAN I DUMAS | CRNA | 1497722243 |
| LINDA K HARR | CRNA | 1356318158 |
| KRISTEN R MAUDE | CRNA | 1144297904 |
| KAREN M. WHITE | CRNA | 1528035201 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.