Individual provider · Type 1 NPI

Jason Clark

Certified Registered Nurse Anesthetist · Jackson, TN

NPI number 1306197348 Active

Practice location

620 Skyline Drive
Jackson, TN 38301

Mailing address

620 Skyline Dr
Jackson, TN 38301-3923

Other practice locations

  • 1208 Office Park Dr, Oxford, MS 38655-3597 · (662) 234-9888

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X16994 (TN)
Certified Registered Nurse Anesthetist 367500000X810611 (MS)

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…

16 other providers at this address

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About NPI 1306197348

Jason Clark's National Provider Identifier is 1306197348, issued on Oct 1, 2012. 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 25, 2026.