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

Jack Lee Suddreth, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1083676274

Jack Lee Suddreth, CRNA is a Certified Registered Nurse Anesthetist in Petersburg, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
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 may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

801 S Adams St
Petersburg, VA 23808-2938
Phone: (804) 862-5000
Fax: (804) 862-5948

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0024164859 (VA)

Record details

NPI number1083676274
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 4, 2006
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 740209, Dept 1041, Atlanta, GA 30374-0209

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