Individual provider · Type 1 NPI

Dolores Jackson

Certified Registered Nurse Anesthetist · Bowling Green, KY

NPI number 1528055050 Active

Practice location

1725 Ashley Cir, 209A
Bowling Green, KY 42104-3337

Call (270) 782-9994 Map

Fax (270) 842-5048

Mailing address

PO Box 2020
Bowling Green, KY 42102-2020

Specialties and licenses

Taxonomy	Code	License
Certified Registered Nurse Anesthetist Primary	367500000X	1014805 (KY)

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 1528055050

Dolores Jackson's National Provider Identifier is 1528055050, issued on Sep 30, 2005. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Bowling Green, KY. The record was last updated on Jul 13, 2026.