Individual
DR. VANESSA RAE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
721 NE 82ND TER, KANSAS CITY, MO 64118-1332
(816) 646-1242
Mailing address
721 NE 82ND TER, KANSAS CITY, MO 64118-1332
(816) 646-1242
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
557350
KS
Other
Enumeration date
07/10/2015
Last updated
10/09/2024
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