Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ELLIS R JACKSON, CRNA
ActiveMR. ELLIS R JACKSON, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in MACON, Georgia. NPI 1659362283 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · MACON, GA
Registration Details
- NPI Number
- 1659362283
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2005 (20.741161041833 yrs)
- Last Updated
- Apr 12, 2017
- License
-
RN066377 (GA)
Practice Information
- Address
-
610 3RD STMACON, GA, 312013294Browse GA providers · Browse ZIP 31201
- Phone
- 2293446080
- Fax
- 2294368649
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in MACON, GA
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN KITCHENER ROGERS | CRNA | 1992708424 |
| WILLIAM ENRIQUE AGUDELO | CRNA | 1174512602 |
| ANGELA D JENKINS I | CRNA | 1023098977 |
| GEORGE J. MYERS | CRNA | 1710952296 |
| WILLIAM ALEXANDER LEATHERWOOD | CRNA | 1346215829 |
| JANET P FULLER | CRNA | 1710954987 |
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.