Individual provider · Type 1 NPI

Roydell Herron Jr.

Certified Registered Nurse Anesthetist · Jackson, TN

NPI number 1265101018 Active

Practice location

620 Skyline Dr
Jackson, TN 38301-3923

Mailing address

1150 Betty Manley Rd
Denmark, TN 38391-1854

Other practice locations

  • 27A Medical Center Dr, Jackson, TN 38301-3949 · (731) 424-1001

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X211952 (TN)
Certified Registered Nurse Anesthetist Primary 367500000X31490 (TN)

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 1265101018

Roydell Herron Jr.'s National Provider Identifier is 1265101018, issued on Sep 7, 2021. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Jackson, TN. The record was last updated on Feb 16, 2026.