NPI 1023489937

Jack Powell, CRNA

Practitioner Certified Registered Nurse Anesthetist Gainesville, GA

Practice location

Address: 743 Spring St NE, Gainesville, GA 30501-3715
Phone: (770) 532-7179
Fax: (770) 534-1312
Mailing address: 1557 Janmar Rd, Snellville, GA 30078-5686

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN202066 (GA)

Other Nurse Anesthetist, Certified Registered providers in Georgia →

Registry record

NPI: 1023489937
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2015
Record last updated: 4 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.