Luke Jarvis Jackson, CRNA
NPI #1194136010 in Great Falls, Montana
Provider Information
- NPI Number
- 1194136010
- Entity Type
- Individual
- Name
- Luke Jarvis Jackson, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- May 13, 2014
- Last Updated
- May 13, 2014
Practice Location
- Address
- 1400 29TH ST S
- City
- Great Falls
- State
- Montana
- ZIP Code
- 59405-5353
- Phone
- (409) 454-2171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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