Luke Jarvis Jackson, CRNA
Nurse Anesthetist, Certified Registered in Great Falls, MT. Individual provider (NPI-1).
NPI number1194136010
StatusActive
Last updated in NPPESMay 13, 2014
Details
- NPI
- 1194136010
- Entity type
- Individual (NPI-1)
- Name
- Luke Jarvis Jackson
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 13, 2014
- Last updated
- May 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NUR-RN-LIC-74240 | MT | Yes |
Practice location
1400 29th St SGreat Falls, MT 59405-5353
Phone 409-454-2171
Mailing address
543 W 2700 NNephi, UT 84648-3004
Phone 435-531-9643
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All 18 Certified Registered Nurse Anesthetist providers in Great Falls · All 2,384 providers in Great Falls
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