NPI 1033596861

Raichatou Ann Jackson

Practitioner Certified Registered Nurse Anesthetist Sioux City, IA

Practice location

Address: 2720 Stone Park Blvd, Sioux City, IA 51104-3734
Phone: (712) 279-3500

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence D139906 (IA)

Other Nurse Anesthetist, Certified Registered providers in Iowa →

Registry record

NPI: 1033596861
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2015
Record last updated: 22 Jul 2021

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.