Jimmy R Jackson is a Tupelo, Mississippi based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Jimmy R Jackson is R539929 for Anesthesia Administration in Mississippi. his current practice location is 830 South Gloster, Tupelo. Patients can reach him at 662-377-4394 or can fax him at 662-377-7045. Jimmy R Jackson is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1164449658. Jimmy R 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:
Jimmy R 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
Credentials:
CRNA
Gender:
Male
Practice Address:
830 South Gloster, Tupelo, Mississippi, 38801
Phone:
662-377-4394
Fax:
662-377-7045
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:
1164449658
NPI Enumeration Date:
17 Jul, 2006
NPI Last Update On:
09 Nov, 2010
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jimmy R Jackson are as mentioned below.
License Number
Specialization
State
Status
R539929
Anesthesia Administration
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jimmy R Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00110004
Medicaid
Mississippi
009936743
Medicaid
Alabama
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 3294, Tupelo, Mississippi
Zip:
38803-3294
Phone Number:
662-377-4394
Fax Number:
662-377-7045
Patients can reach Jimmy R Jackson at 830 South Gloster, Tupelo, Mississippi or can call to book an appointment on 662-377-4394.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.