Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VELVET JACKSON
ActiveVELVET JACKSON is a Nurse Anesthetist, Certified healthcare provider located in DURANGO, Colorado. NPI 1619414422 is currently active in the NPPES registry. Verify at CMS.
Nurse Anesthetist, Certified · DURANGO, CO
Registration Details
- NPI Number
- 1619414422
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2017 (9.5791629624367 yrs)
- Last Updated
- Jan 31, 2017
- Licenses
-
1623855 (CO)1623855 (CO)
Practice Information
- Address
-
450 S CAMINO DEL RIO STE 102DURANGO, CO, 813016856Browse CO providers · Browse ZIP 81301
- Phone
- 9708283030
- Fax
- 9702470221
- Primary Specialty
-
Nurse Anesthetist, Certified
163WA0400X
- Additional Specialty
- Nurse Anesthetist, Certified
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.