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Lyle Jeremy Jackson, CRNA
Certified Registered Nurse Anesthetist in Idaho Falls, Idaho
NPI 1225597305

Lyle Jeremy Jackson is a Certified Registered Nurse Anesthetist based in Rexburg, ID. Lyle Jeremy Jackson practices in Idaho Falls, ID and has the professional credentials of CRNA. The NPI Number for Lyle Jeremy Jackson is 1225597305 and holds a License No. 62439 (Idaho).

The current practice location address for Lyle Jeremy Jackson is 2325 Coronado St, Idaho Falls, ID and can be reached out via phone at 208-557-2700. You can also correspond with Lyle Jeremy Jackson through the mailing address at 1090 BARNEY DAIRY RD, REXBURG, ID - 83440-3542 (mailing address contact number: 801-319-9345).

Location: 2325 Coronado St, Idaho Falls, ID, 83440-3542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225597305
Provider Name
Lyle Jeremy Jackson
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
2325 Coronado St, Idaho Falls, ID, 83440-3542
Phone Number
208-557-2700
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2325 Coronado St
City
Idaho Falls
State
Idaho
Zip
83404-7407
Phone Number
208-557-2700
Fax Number
person
Provider Business Mailing Address Details
Address
2325 Coronado St
City
Idaho Falls
State
Idaho
Zip
83404-7407
Phone Number
208-557-2700
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Orthopedic
Taxonomy
163WX0800X
License No.
125895 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
62439 (Idaho)
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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