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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDY JACKSON, CRNA

Active

RANDY JACKSON, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in JACKSON, Ohio. NPI 1407470719 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · JACKSON, OH

Registration Details

NPI Number
1407470719
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2020 (6.2137116058774 yrs)
Last Updated
Jan 21, 2021
License
APRN.CRNA.0020099 (OH)

Practice Information

Address
280 PATTONSVILLE RD
JACKSON, OH, 456409452
Browse OH providers · Browse ZIP 45640
Phone
7404465000
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in JACKSON, OH

Name Credential NPI
DAVID B GRIMM CRNA 1003906421
SANDRA LEE TROESTER CRNA 1881986834
ERIC W CARTER CRNA 1700239423
DUSTIN LEE PEAYTT RN, BSN, DMPNA 1609303437
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.