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

Jacob J Briscoe, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1972736551

Jacob J Briscoe, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Poplar Bluff, Missouri. Qualified in 2009, 17 years ago. Practices with Mississippi County Hospital System, an 18-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
17
Licensed in
IL, MO
In the registry since
2009
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone: (573) 776-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2024007928 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 041341872 (IL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 209007627 (IL)

Record details

NPI number1972736551
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedAugust 28, 2009
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address1201 Hamer Rd, Dyersburg, TN 38024-6908

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mississippi County Hospital System — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Poplar Bluff