Kevin Jackson
Kevin Jackson is registered under Certified Registered Nurse Anesthetist (CRNA) in Jackson, Michigan. Qualified in 2025, 1 year ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 1
- Licensed in
- MI
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
205 N East AveJackson, MI 49201-1753
Phone: (517) 205-4800
Fax: (313) 876-1305
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 4001 W McNichols Rd, Detroit, MI 48221-3038 — (313) 993-3373
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 4704357712 (MI) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 4704357712 (MI) |
Record details
| NPI number | 1306683990 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 10, 2024 |
| Last updated in NPPES | September 29, 2025 |
| Certification date | September 29, 2025 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | W. A. Foote Memorial Hospital, Inc. — 478 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Practises at
- Henry Ford Allegiance Health Hospital · Jackson, MI · listed as Allegiance Health
Colleagues at W. A. Foote Memorial Hospital, Inc
- Christopher Alvarado Certified Registered Nurse Anesthetist · Southfield, MI
- Shoshana Woo Ambani, MD Plastic Surgery Physician · Ann Arbor, MI
- Alexandra Berichon, PA-C Physician Assistant · Brooklyn, MI
- Anmar Dalati, DO Pain Medicine (Anesthesiology) Physician · Detroit, MI
- Dr. Alfred M Faulkner, DO Orthopaedic Surgery Physician · Dearborn, MI
- Steven Fehrenbach, FNP-C Family Nurse Practitioner · Jackson, MI
- Frederic Shaw Joyce, MD Surgery Physician · Jackson, MI
- Lisa L Legere-Struntz, DO Family Medicine Physician · Jackson, MI
- Jordan Miller Registered Nurse · Spring Arbor, MI
- Elizabeth J Pielsticker, MD Cardiovascular Disease Physician · Jackson, MI
- Kristen Sorrow, NP Family Nurse Practitioner · Jackson, MI
- Anthony C. Tam, MD Family Medicine Physician · Chelsea, MI
Other providers in Jackson
-
Marjorie Hirth
1515 Greenwood Ave, Jackson, MI 49203-4047 · (517) 787-5710
-
Phillip Hitt, RN
1200 N West Ave, Jackson, MI 49202-2179 · (517) 796-4553
-
Donna Hoffman, RN
1006 Tanbark Ln E Apt C, Jackson, MI 49203-1226 · (517) 936-1807
-
Linda Huang
3417 Caroline Dr, Jackson, MI 49203-5203 · (517) 817-0357
-
Lesley Tyesha Jackson, FNP
900 Cooper St, Jackson, MI 49202-3398 · (800) 379-1600
-
Tamara Jo Kelley, NP-C
3418 Mayapple Ln Apt 11, Jackson, MI 49201-7286 · (517) 240-9399
-
Helen Kimmel
1515 Greenwood Ave, Jackson, MI 49203-4047 · (517) 787-5710
-
Risten Koszegi
3088 Horton Rd, Jackson, MI 49203-5546 · (517) 240-7521