Individual provider · Type 1 NPI
Jeffry Lynes Peterson, CRNA
Certified Registered Nurse Anesthetist · Red Bud, IL
Practice location
10117 Pine Crest Rd
Red Bud, IL 62278-4458
Other practice locations
- 818 E Broadway St, Sparta, IL 62286-1820 · (618) 443-2177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist Primary | 367500000X | 3002489 (KY) |
| Certified Registered Nurse Anesthetist | 367500000X | 124294 (MO) |
| Certified Registered Nurse Anesthetist | 367500000X | 209-000383 (IL) |
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…
Other certified registered nurse anesthetist providers in Red Bud
About NPI 1164569729
Jeffry Lynes Peterson, CRNA's National Provider Identifier is 1164569729, issued on Jan 31, 2007. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Red Bud, IL. The record was last updated on May 29, 2026.