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Jackie Fortenberry, CRNA
Certified Registered Nurse Anesthetist in Jackson, Mississippi
NPI 1609902337

Jackie Fortenberry is a Certified Registered Nurse Anesthetist based in Jackson, MS. Jackie Fortenberry practices in Jackson, MS and has the professional credentials of CRNA. The NPI Number for Jackie Fortenberry is 1609902337 and holds a License No. R114980 (Mississippi).

The current practice location address for Jackie Fortenberry is 1225 N State St, Jackson, MS and can be reached out via phone at 601-968-1362 and via fax at 601-292-4592.

Location: 1225 N State St, Jackson, MS, 39225-3090
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609902337
Provider Name
Jackie Fortenberry
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
1225 N State St, Jackson, MS, 39225-3090
Phone Number
601-968-1362
Fax Number
601-292-4592
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00117028 05 MS
institution
Provider Business Practice Location Address Details
Address
1225 N State St
City
Jackson
State
Mississippi
Zip
39202-2064
Phone Number
601-968-1362
Fax Number
601-292-4592
person
Provider Business Mailing Address Details
Address
1225 N State St
City
Jackson
State
Mississippi
Zip
39202-2064
Phone Number
601-968-1362
Fax Number
601-292-4592
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
R114980 (Mississippi)
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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