Individual provider · Type 1 NPI

Larry D. Stuckey, CRNA

Certified Registered Nurse Anesthetist · Jackson, MI

NPI number 1467425306 Active

Practice location

205 N East Ave
Jackson, MI 49201-1753

Fax (517) 205-5903

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 2740 Navarre Ave, Oregon, OH 43616-3216 · (419) 693-4444

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000XCOA.02581-NA (OH)
Certified Registered Nurse Anesthetist Primary 367500000X4704165719 (MI)

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 1467425306

Larry D. Stuckey, CRNA's National Provider Identifier is 1467425306, issued on Feb 10, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Jackson, MI. The record was last updated on Jan 26, 2026.