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

Individual provider Certified Registered Nurse Anesthetist · NPI 1730743758

Jordan K Parker, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Mississippi. Qualified in 2019, 7 years ago. Practices with Physicians Anesthesia Group, PA, a 54-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2019
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

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 362-1990
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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 R901564 (MS)

Record details

NPI number1730743758
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 24, 2019
Last updated in NPPESJuly 26, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Physicians Anesthesia Group, P.A. — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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