Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STARR SHALAE JACKSON
Active Sole ProprietorDR. STARR SHALAE JACKSON is a Certified Nurse Anesthetist (CRNA) healthcare provider located in STATEN ISLAND, New York. NPI 1578197588 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · STATEN ISLAND, NY
Registration Details
- NPI Number
- 1578197588
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 28, 2020 (6.4862823879421 yrs)
- Last Updated
- Feb 17, 2025
- Licenses
-
345211 (NY)345211 (NY)345211 (NY)663663 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2627 HYLAN BLVDSTATEN ISLAND, NY, 103064344Browse NY providers · Browse ZIP 10306
- Phone
- 6465330990
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in STATEN ISLAND, NY
| Name | Credential | NPI |
|---|---|---|
| AMY BARBERAN BARREDA | CRNA | 1962409425 |
| JOSEPH V CAPUTO | CRNA | 1285631788 |
| ANN E KEANEY | CRNA | 1518965003 |
| CORAZON C GATCHALIAN | CRNA | 1649278268 |
| ALESIA KELSEY VAZQUEZ | CRNA | 1386642916 |
| STEPHANIE ANN WARE | CRNA | 1255339149 |
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.