Organization
JACKSON ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT ANTHONY JACKSON CRNA (PRESIDENT)
(615) 385-5911
Entity
Organization
Contact information
Practice address
3600 HAMPTON AVENUE, NASHVILLE, TN 37215
(615) 385-5911
(615) 385-5911
Mailing address
3600 HAMPTON AVENUE, NASHVILLE, TN 37215
(615) 385-5911
(615) 385-5911
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4109072
BCBS NONPAR
TN
Enumeration date
09/07/2006
Last updated
08/22/2020
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