NPI 1194136010

Luke Jarvis Jackson, CRNA

Practitioner Certified Registered Nurse Anesthetist Great Falls, MT

Practice location

Address: 1400 29th St S, Great Falls, MT 59405-5353
Phone: (409) 454-2171
Mailing address: 543 W 2700 N, Nephi, UT 84648-3004

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence NUR-RN-LIC-74240 (MT)

Other Nurse Anesthetist, Certified Registered providers in Montana →

Registry record

NPI: 1194136010
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 May 2014
Record last updated: 13 May 2014

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.