Individual provider · Type 1 NPI

Jonathan B. Clark, CRNA

Certified Registered Nurse Anesthetist · Providence, RI

NPI number 1275923781 Active

Practice location

164 Summit Ave
Providence, RI 02906-2853

Mailing address

333 Ricciuti Dr, Apt. 1824
Quincy, MA 02169-6287

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000XRN277232 (MA)
Certified Registered Nurse Anesthetist Primary 367500000XAPRN00302 (RI)

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 1275923781

Jonathan B. Clark, CRNA's National Provider Identifier is 1275923781, issued on Feb 4, 2015. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Providence, RI. The record was last updated on Sep 16, 2021.