Individual provider · Type 1 NPI

Jessica Bloom Buckley

Certified Registered Nurse Anesthetist · Charleston, WV

NPI number 1396828992 Active

Practice location

3200 Maccorkle Ave SE
Charleston, WV 25304

Fax (304) 388-9852

Mailing address

3 Dawn Place
Charleston, WV 25314

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X61450 (WV)
Certified Registered Nurse Anesthetist Primary 367500000X73554 (WV)

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 1396828992

Jessica Bloom Buckley's National Provider Identifier is 1396828992, issued on Oct 24, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Charleston, WV. The record was last updated on Sep 11, 2025.