NPI 1053768945

Clark Jackson

Practitioner Certified Registered Nurse Anesthetist Lincoln, NE

Practice location

Address: 2500 S 60th St APT 21, Lincoln, NE 68506-3579
Phone: (402) 613-2633

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 70693 (NE)

Other Nurse Anesthetist, Certified Registered providers in Nebraska →

Registry record

NPI: 1053768945
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 May 2016
Record last updated: 20 May 2016

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.