Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Anthony Wade Fondren, CRNA, DNP, BSN, BSBS

Individual provider Certified Registered Nurse Anesthetist · NPI 1831615541

Dr. Anthony Wade Fondren, CRNA, DNP, BSN, BSBS is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Tennessee. Qualified in 2017, 9 years ago. Practices with Lowell Anesthesiology Service Inc, a 97-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.

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Practice location Address checks out

620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 541-7070
Fax: (731) 541-7075
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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 22967 (TN)

Record details

NPI number1831615541
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA , DNP , BSN , BSBS
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESAugust 15, 2017

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lowell Anesthesiology Service Inc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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