Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE MARTIN PENICK, CRNA
ActiveJAKE MARTIN PENICK, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in JACKSON, Mississippi. NPI 1376306480 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · JACKSON, MS
Registration Details
- NPI Number
- 1376306480
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2024 (2.5090469326503 yrs)
- Last Updated
- Feb 7, 2024
- License
-
901900 (MS)
Practice Information
- Address
-
1225 N STATE STJACKSON, MS, 392022064Browse MS providers · Browse ZIP 39202
- Phone
- 6019681000
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| MARY P. JOHNSON | CRNA | 1629050836 |
| MR. MARK C. BURRELL | CRNA | 1730161779 |
| MR. ANCE O. HAWKINS | CRNA | 1073578084 |
| BLAKELEY WARD | CRNA | 1184675571 |
| HAROLD NICHOLS | CRNA | 1699726158 |
| JAMES GREGORY BURNHAM | CRNA | 1881644367 |
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.