Individual
MR. JOHN ROBERT JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
115 CASS AVE, NORTHERN RHODE ISLAND ANESTHESIA ASSOCIATES, PC, WOONSOCKET, RI 02895-4705
(401) 769-4100
Mailing address
9 MACINTOSH DR, CRANSTON, RI 02921-2107
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
206366
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN00396
RI
Other
Enumeration date
08/22/2006
Last updated
07/18/2025
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