Ethan Jared Jackson is a Plymouth, Minnesota based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Ethan Jared Jackson is 2465468 for Anesthesia Administration in Minnesota. his current practice location is 14700 28th Ave N Ste 20, Plymouth. Patients can reach him at 763-559-3779 or can fax him at 763-450-3986. Ethan Jared Jackson with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1376348185. Ethan Jared Jackson is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Ethan Jared Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Gender:
Male
Practice Address:
14700 28th Ave N Ste 20, Plymouth, Minnesota, 55447-4876
Phone:
763-559-3779
Fax:
763-450-3986
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1376348185
NPI Enumeration Date:
17 Feb, 2025
NPI Last Update On:
17 Feb, 2025
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan Jared Jackson are as mentioned below.
License Number
Specialization
State
Status
2465468
Anesthesia Administration
Minnesota
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 47159, Plymouth, Minnesota
Zip:
55447-0159
Phone Number:
763-559-3779
Fax Number:
763-450-3986
Patients can reach Ethan Jared Jackson at 14700 28th Ave N Ste 20, Plymouth, Minnesota or can call to book an appointment on 763-559-3779.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.