Larette Denise Jackson is a Atlanta, Georgia based nurse anesthetist with 27 years of experience as Anesthesia Administration. She completed she graduation in 1998. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Larette Denise Jackson is RN104440 for Anesthesia Administration in Georgia. Her current practice location is 2451 Cumberland Pkwy Se, Ste #3414, Atlanta. Patients can reach her at 832-283-7792. Larette Denise Jackson is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1952360851. Larette Denise 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:
Larette Denise 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
Experience:
27+ years
Medical School Attended:
Other
Graduation Year:
1998
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
2451 Cumberland Pkwy Se, Ste #3414, Atlanta, Georgia, 30339-6136
Phone:
832-283-7792
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.
PAC ID:
7214821925
Enrollment ID:
I20040301000590
NPI Number:
1952360851
NPI Enumeration Date:
20 Mar, 2006
NPI Last Update On:
18 Feb, 2009
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larette Denise Jackson are as mentioned below.
License Number
Specialization
State
Status
RN104440
Anesthesia Administration
Georgia
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Larette Denise Jackson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Pain Care Llc (0244395689)
7
Other Medical Identifiers:
Other legacy medical identifiers associated with Larette Denise Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000887928
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2451 Cumberland Pkwy Se, Ste #3414 Atlanta, Georgia
Zip:
30339-6136
Phone Number:
770-596-3498
Fax Number:
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Patients can reach Larette Denise Jackson at 2451 Cumberland Pkwy Se, Ste #3414, Atlanta, Georgia or can call to book an appointment on 832-283-7792.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.