Individual provider · Type 1 NPI
Jack Lee Suddreth, CRNA
Certified Registered Nurse Anesthetist · Petersburg, VA
Practice location
801 S Adams St
Petersburg, VA 23808-2938
Fax (804) 862-5948
Mailing address
PO Box 740209, Dept 1041
Atlanta, GA 30374-0209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist Primary | 367500000X | 0024164859 (VA) |
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 1083676274
Jack Lee Suddreth, CRNA's National Provider Identifier is 1083676274, issued on Apr 4, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Petersburg, VA. The record was last updated on Jul 13, 2026.