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Jack Lee Suddreth, CRNA
Certified Registered Nurse Anesthetist in Petersburg, Virginia
NPI 1083676274

Jack Lee Suddreth is a Certified Registered Nurse Anesthetist based in Atlanta, VA. Jack Lee Suddreth practices in Petersburg, VA and has the professional credentials of CRNA. The NPI Number for Jack Lee Suddreth is 1083676274 and holds a License No. 0024164859 (Virginia).

The current practice location address for Jack Lee Suddreth is 801 S Adams St, Petersburg, VA and can be reached out via phone at 804-862-5000 and via fax at 804-862-5948.

Location: 801 S Adams St, Petersburg, VA, 30374-0209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083676274
Provider Name
Jack Lee Suddreth
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
801 S Adams St, Petersburg, VA, 30374-0209
Phone Number
804-862-5000
Fax Number
804-862-5948
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
801 S Adams St
City
Petersburg
State
Virginia
Zip
23808-2938
Phone Number
804-862-5000
Fax Number
804-862-5948
person
Provider Business Mailing Address Details
Address
801 S Adams St
City
Petersburg
State
Virginia
Zip
23808-2938
Phone Number
804-862-5000
Fax Number
804-862-5948
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
0024164859 (Virginia)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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