National Provider Identifier
Patricia Jackson, CRNA
Patricia Jackson, CRNA is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist in Buffalo, NY and a listed phone number of (716) 836-7510.
Profile Overview
- NPI
- 1275838922
- Provider Type
- Individual
- Primary Specialty
- Certified Registered Nurse Anesthetist
- Enumeration Date
- January 11, 2011
- Last Updated
- October 17, 2023
Practice Location
- 2121 Main St
- Ste 209
- Buffalo, NY 14214-2693
Phone: (716) 836-7510
Specialties
- Certified Registered Nurse Anesthetist (367500000X)
Full Record
- NPI
- 1275838922
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Patricia
- Credential
- CRNA
- Mailing Street Address
- 2121 Main St
- Mailing Address Line 2
- Ste 209
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-2693
- Mailing Country
- US
- Mailing Phone
- (716) 836-7510
- Mailing Fax
- (716) 836-7511
- Practice Street Address
- 2121 Main St
- Practice Address Line 2
- Ste 209
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2693
- Practice Country
- US
- Practice Phone
- (716) 836-7510
- Practice Fax
- (716) 836-7511
- Enumeration Date
- January 11, 2011
- Last Updated
- October 17, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 17, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Certified Registered Nurse Anesthetist (367500000X)