MR. ELLIS JACKSON, CRNA
Nurse Anesthetist, Certified Registered
Active
Individual
NPI: 1659362283
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | RN066377 (GA) |
Frequently Asked Questions
NPI 1659362283 is the National Provider Identifier for MR. ELLIS JACKSON, CRNA, a Nurse Anesthetist, Certified Registered provider located in Macon, GA. This NPI was enumerated on November 2, 2005.
MR. ELLIS JACKSON, CRNA practices at 610 3RD ST, Macon, GA 31201.
Quick Facts
- NPI
- 1659362283
- Type
- Individual
- Enumerated
- Nov 2, 2005
- Last Updated
- Apr 12, 2017
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