Mr. Jackie Ray Johnson is a Dallas, Texas based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Mr. Jackie Ray Johnson is 510698 for Anesthesia Administration in Texas. his current practice location is 8200 Walnut Hill Ln, Dallas. Patients can reach him at 214-345-7175. Mr. Jackie Ray Johnson is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1053320218. Mr. Jackie Ray Johnson 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:
Mr. Jackie Ray Johnson 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:
8200 Walnut Hill Ln, Dallas, Texas, 75231-4426
Phone:
214-345-7175
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:
1053320218
NPI Enumeration Date:
05 Aug, 2006
NPI Last Update On:
18 Nov, 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 Mr. Jackie Ray Johnson are as mentioned below.
License Number
Specialization
State
Status
510698
Anesthesia Administration
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jackie Ray Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
002509002
Medicaid
Texas
89723U
Other
Texas
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3008 Shilling Rd, Texarkana, Texas
Zip:
75503-5423
Phone Number:
903-792-2173
Fax Number:
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Patients can reach Mr. Jackie Ray Johnson at 8200 Walnut Hill Ln, Dallas, Texas or can call to book an appointment on 214-345-7175.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.