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

Individual provider Certified Registered Nurse Anesthetist · NPI 1619975455

Jesse B Johnson, CRNA is a Certified Registered Nurse Anesthetist in Springdale, Arkansas. Licensed in Arkansas and Texas. Registered with an NPI since 2005.

Licensed in
AR, TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

609 W Maple Ave
Springdale, AR 72764-5335
Phone: (479) 751-5711
Fax: (479) 751-1099
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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 C001215 (AR)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 621415 (TX)

Record details

NPI number1619975455
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 13, 2005
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing addressPo Box 583, Lowell, AR 72745-0583

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