Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carolyn L Jackson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1063551455

Carolyn L Jackson, CRNA is a Certified Registered Nurse Anesthetist in San Antonio, Texas. Licensed in Georgia and Texas. Registered with an NPI since 2007.

Licensed in
GA, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

4502 Medical Dr
San Antonio, TX 78229-4402
Phone: (210) 358-4000
Fax: (210) 358-4911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 745549 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN 160197 (GA)

Record details

NPI number1063551455
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 5, 2007
Last updated in NPPESApril 1, 2011

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