Individual provider · Type 1 NPI

Michael D. Jacob, CRNA

Certified Registered Nurse Anesthetist · Indianapolis, IN

NPI number 1508824905 Active

Practice location

7150 Clearvista Drive
Indianapolis, IN 37043

Call (317) 621-5890 Map

Fax (317) 355-2205

Mailing address

6626 E 75th St
Indianapolis, IN 46250-2805

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000X103360 (TN)
Certified Registered Nurse Anesthetist Primary 367500000X28181433A (IN)

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 1508824905

Michael D. Jacob, CRNA's National Provider Identifier is 1508824905, issued on May 3, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 21, 2015.