Individual provider · Type 1 NPI

Jordan L. Pickering

Certified Registered Nurse Anesthetist · Plymouth, MN

NPI number 1770152092 Active

Practice location

14700 28th Ave N Ste 20
Plymouth, MN 55447-4876

Fax (763) 450-3986

Mailing address

PO Box 47159
Plymouth, MN 55447-0159

Other practice locations

  • 640 Jackson St, St. Paul, MN 55101-2502 · (651) 254-6512

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X2618 (MN)
Student in an Organized Health Care Education/Training Program 390200000XR234444-7 (MN)

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 1770152092

Jordan L. Pickering's National Provider Identifier is 1770152092, issued on Jun 21, 2021. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Plymouth, MN. The record was last updated on Dec 31, 2024.