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

Jonathan Lee Custer

Individual provider Certified Registered Nurse Anesthetist · NPI 1861019473

Jonathan Lee Custer is a Certified Registered Nurse Anesthetist in Tacoma, Washington. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-4504
Phone: (253) 968-0198
Show map & directions

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

Additional practice locations (1)

  • 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 — (210) 916-3832

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN293835 (GA)

Record details

NPI number1861019473
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2020
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023

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