Individual provider · Type 1 NPI

Jacob Tyler Balken

Certified Registered Nurse Anesthetist · Miami Shores, FL

NPI number 1679272298 Active

Practice location

11300 NE 2nd Ave
Miami Shores, FL 33161-6628

Mailing address

6181 SE 11th St
Ocala, FL 34472-7862

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X9486538 (FL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Certified Registered Nurse Anesthetist Primary 367500000XAPRN11039828 (FL)

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 1679272298

Jacob Tyler Balken's National Provider Identifier is 1679272298, issued on Mar 2, 2023. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Miami Shores, FL. The record was last updated on Aug 15, 2025.