Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON CLARK
ActiveCertified Nurse Anesthetist (CRNA) · JACKSON, TN
Registration Details
- NPI Number
- 1306197348
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2012 (13.566709149572 yrs)
- Last Updated
- Feb 25, 2026
- Licenses
-
16994 (TN)810611 (MS)
Practice Information
- Address
-
620 SKYLINE DRIVEJACKSON, TN, 38301Browse TN providers · Browse ZIP 38301
- Phone
- 7315417070
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in JACKSON, TN
| Name | Credential | NPI |
|---|---|---|
| JULIE A MCBROOM | CRNA | 1821094608 |
| MR. PHILIP PAUL JULIAN | CRNA | 1154328326 |
| MR. BRENT EDWARD EARWOOD | CRNA | 1487651402 |
| KENNETH W HUTCHINSON | CRNA | 1093707051 |
| MATTHEW S LONG | CRNA | 1093707945 |
| HOPE B MOORE | CRNA | 1619963295 |
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.