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

Jaclyn Ghusson, RN

Individual provider Registered Nurse · NPI 1104497577

Jaclyn Ghusson, RN is a Certified Registered Nurse Anesthetist (CRNA) in Tucson, Arizona. Qualified in 2024, 2 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2021
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1305 N Martin Ave
Tucson, AZ 85721-0001
Phone: (520) 561-9551
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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 308845 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 197048 (AZ)

Record details

NPI number1104497577
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 7, 2021
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address520 E Day Flower Dr, Tucson, AZ 85755-1438

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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