Individual provider · Type 1 NPI

Jacob D. Boston, CRNA

Certified Registered Nurse Anesthetist · Longview, WA

NPI number 1558035527 Active

Practice location

1615 Delaware St
Longview, WA 98632-2367

Fax (360) 414-7638

Mailing address

324 N Emporia Ave Apt 611
Wichita, KS 67202-2554

Other practice locations

  • 888 Swift Blvd, Richland, WA 99352-3583 · (770) 643-5619

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X149114 (KS)
Certified Registered Nurse Anesthetist Primary 367500000XAP61201940 (WA)

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 1558035527

Jacob D. Boston, CRNA's National Provider Identifier is 1558035527, issued on Aug 4, 2021. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Longview, WA. The record was last updated on Mar 19, 2026.