Robert Wallace

CRNA | Nurse Anesthetist | 42+ years Exp

367 Hospital Blvd, Jackson
  Tennessee, 38305-2080
731-661-2227
Accepts Medicare Nurse Anesthetist in Jackson, Tennessee.
Robert Wallace is a Jackson, Tennessee based nurse anesthetist with 42 years of experience as Anesthesia Administration. He completed he graduation in 1983. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Robert Wallace is 53447 for Anesthesia Administration in Tennessee. his current practice location is 367 Hospital Blvd, Jackson. Patients can reach him at 731-661-2227. Robert Wallace is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1003950288.
Robert Wallace 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:
Robert Wallace 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: 42+ years
Medical School Attended:Other
Graduation Year:1983
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:367 Hospital Blvd, Jackson,
Tennessee, 38305-2080
Phone:731-661-2227
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: 6204001910
Enrollment ID: I20180320000901
NPI Number: 1003950288
NPI Enumeration Date: 19 Feb, 2007
NPI Last Update On: 04 Nov, 2011

Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert Wallace are as mentioned below.
License NumberSpecializationStateStatus
53447Anesthesia Administration TennesseePrimary
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 Robert Wallace has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Summit Anesthesia Services Pllc (3971850892)34
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 367 Hospital Blvd,
Jackson, Tennessee
Zip: 38305-2080
Phone Number: 731-661-2227
Fax Number: --
Patients can reach Robert Wallace at 367 Hospital Blvd, Jackson, Tennessee or can call to book an appointment on 731-661-2227.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.