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

Individual provider Certified Registered Nurse Anesthetist · NPI 1063466951

Christian Jackson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Independence, Missouri. Qualified in 2005, 21 years ago. Practices with St Lukes East Anesthesia Services PC, a 45-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
21
Licensed in
MO
In the registry since
2006
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

19600 E 39th St S
Independence, MO 64057-2301
Phone: (913) 428-2900
Fax: (913) 428-2951
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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 2001004399 (MO)

Record details

NPI number1063466951
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice St Lukes East Anesthesia Services Pc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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