MR. Michael Wayne Jackson, CRNA

NPI #1558379362 in Franklin, Virginia

Provider Information

NPI Number
1558379362
Entity Type
Individual
Name
MR. Michael Wayne Jackson, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Aug 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
100 FAIRVIEW DR
Address 2
SOUTHAMPTON MEMORIAL HOSPITAL
ZIP Code
23851-1238
Phone
(757) 569-6125

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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