Individual provider · Type 1 NPI

Jaclyn A. Johnson, CRNA

Certified Registered Nurse Anesthetist · Raleigh, NC

NPI number 1972201119 Active

Practice location

4420 Lake Boone Trl
Raleigh, NC 27607-7505

Mailing address

124 E Gate City Blvd
Greensboro, NC 27406-1457

Other practice locations

  • 124 E Gate City Blvd, Greensboro, NC 27406-1457 · (336) 375-9232

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Certified Registered Nurse Anesthetist Primary 367500000X7588 (NC)

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 1972201119

Jaclyn A. Johnson, CRNA's National Provider Identifier is 1972201119, issued on Feb 17, 2023. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Raleigh, NC. The record was last updated on Mar 25, 2025.