Individual provider · Type 1 NPI

Michael F. Jackson, CRNA

Certified Registered Nurse Anesthetist · St. Louis, MO

NPI number 1538149265 Active

Practice location

12639 Old Tesson Rd Ste 130
St. Louis, MO 63128-4814

Call (636) 386-7222 Map

Fax (636) 386-7810

Mailing address

PO Box 22407
St. Louis, MO 63126-0407

Other practice locations

  • 10010 Kennerly Rd, St. Louis, MO 63128-2106 · (636) 386-7222

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X106810 (MO)

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 1538149265

Michael F. Jackson, CRNA's National Provider Identifier is 1538149265, issued on Jan 19, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 30, 2026.