Individual provider · Type 1 NPI

Mallory Wiesen McLoone, CRNA

Certified Registered Nurse Anesthetist · Jackson, MI

NPI number 1144630625 Active

Practice location

205 N East Ave
Jackson, MI 49201-1753

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 · (734) 712-9500
  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 · (734) 936-4000

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X4704272649 (MI)

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…

620 other providers at this address

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About NPI 1144630625

Mallory Wiesen McLoone, CRNA's National Provider Identifier is 1144630625, issued on May 6, 2014. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Jackson, MI. The record was last updated on Jun 22, 2026.