Jonathan O Anderson, CRNA
Nurse Anesthetist, Certified Registered in Jackson, TN. Individual provider (NPI-1).
NPI number1477619724
StatusActive
Last updated in NPPESMay 14, 2024
Details
- NPI
- 1477619724
- Entity type
- Individual (NPI-1)
- Name
- Jonathan O Anderson
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2006
- Certification date
- May 14, 2024
- Last updated
- May 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 12440 | TN | Yes |
Practice location
708 W Forest AveJackson, TN 38301-3901
Phone 731-927-7070 · Fax 731-927-7075
Mailing address
1804 Highway 45 BypSuite 604
Jackson, TN 38305-4436
Phone 731-660-8759
Other practice locations
877 Jefferson Ave
Memphis, TN 38103-2807
Memphis, TN 38103-2807
Phone 901-448-5893 · Fax 901-448-5540
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