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Michael D Jacob, CRNA
Certified Registered Nurse Anesthetist in Indianapolis, Indiana
NPI 1508824905

Michael D Jacob is a Certified Registered Nurse Anesthetist based in Indianapolis, IN. Michael D Jacob practices in Indianapolis, IN and has the professional credentials of CRNA. The NPI Number for Michael D Jacob is 1508824905 and holds a License No. 103360 (Indiana).

The current practice location address for Michael D Jacob is 7150 Clearvista Drive, Indianapolis, IN and can be reached out via phone at 317-621-5890 and via fax at 317-355-2205.

Location: 7150 Clearvista Drive, Indianapolis, IN, 46250-2805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508824905
Provider Name
Michael D Jacob
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
7150 Clearvista Drive, Indianapolis, IN, 46250-2805
Phone Number
317-621-5890
Fax Number
317-355-2205
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000595410 01 IN ANTHEM
3628323 05 TN
200926510 05 IN
institution
Provider Business Practice Location Address Details
Address
7150 Clearvista Drive
City
Indianapolis
State
Indiana
Zip
37043
Phone Number
317-621-5890
Fax Number
317-355-2205
person
Provider Business Mailing Address Details
Address
7150 Clearvista Drive
City
Indianapolis
State
Indiana
Zip
37043
Phone Number
317-621-5890
Fax Number
317-355-2205
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
103360 (Tennessee)
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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