Individual provider · Type 1 NPI

Jack Neil Kendrick, CRNA

Certified Registered Nurse Anesthetist · Marietta, GA

NPI number 1073532032 Active

Practice location

488 Kennesaw Ave NW Ste 100
Marietta, GA 30060-9409

Call (404) 888-7590 Map

Mailing address

10 Glenlake Pkwy Ste 900
Atlanta, GA 30328-7249

Specialties and licenses

Taxonomy	Code	License
Certified Registered Nurse Anesthetist Primary	367500000X	APRN-CRNA123295 (GA)
Certified Registered Nurse Anesthetist	367500000X	APN.APRN18085 (SC)
Certified Registered Nurse Anesthetist	367500000X	RN192749 (NC)

Certified Registered Nurse Anesthetist: (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 creden…

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About NPI 1073532032

Jack Neil Kendrick, CRNA's National Provider Identifier is 1073532032, issued on Jul 19, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Marietta, GA. The record was last updated on Dec 2, 2025.