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

Jennifer Elizabeth Vicknair, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1306861398

Jennifer Elizabeth Vicknair, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Monticello, Arkansas. Qualified in 2003, 23 years ago. Practices with Rural Health Pain Management LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Arkansas and Louisiana.

Years since qualifying
23
Licensed in
AR, LA
In the registry since
2006
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

778 Scogin Dr
Monticello, AR 71655-5729
Phone: (870) 367-2411
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 AP04334 (LA)
Registered Nurse Taxonomy 163W00000X · Licence RN087113 (LA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence C003168 (AR)

Record details

NPI number1306861398
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESJanuary 6, 2024
Certification dateJanuary 6, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Rural Health Pain Management Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Monticello