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Mr. Ellis R Jackson, CRNA
Certified Registered Nurse Anesthetist in Macon, Georgia
NPI 1659362283

Ellis R Jackson is a Certified Registered Nurse Anesthetist based in Leesburg, GA. Ellis R Jackson practices in Macon, GA and has the professional credentials of CRNA. The NPI Number for Ellis R Jackson is 1659362283 and holds a License No. RN066377 (Georgia).

The current practice location address for Ellis R Jackson is 610 3Rd St, Macon, GA and can be reached out via phone at 229-344-6080 and via fax at 229-436-8649. You can also correspond with Ellis R Jackson through the mailing address at 427 FUSSELL RD, LEESBURG, GA - 31763-5210 (mailing address contact number: 229-344-6080).

Location: 610 3Rd St, Macon, GA, 31763-5210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659362283
Provider Name
Ellis R Jackson
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
610 3Rd St, Macon, GA, 31763-5210
Phone Number
229-344-6080
Fax Number
229-436-8649
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
334081730A 05 GA
P00220709 01 GA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
610 3Rd St
City
Macon
State
Georgia
Zip
31201-3294
Phone Number
229-344-6080
Fax Number
229-436-8649
person
Provider Business Mailing Address Details
Address
610 3Rd St
City
Macon
State
Georgia
Zip
31201-3294
Phone Number
229-344-6080
Fax Number
229-436-8649
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
RN066377 (Georgia)
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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