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

Lesley A Huckaby

Individual provider Certified Registered Nurse Anesthetist · NPI 1912290065

Lesley A Huckaby is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Michigan. Qualified in 2011, 15 years ago. Practices with Smh Physician Services Inc, a 774-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Pennsylvania.

Years since qualifying
15
Licensed in
MI, PA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-7836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 State St, Erie, PA 16550-0002 — (814) 453-3900

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704350436 (MI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN557254 (PA)

Record details

NPI number1912290065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 24, 2011
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address68 S Service Rd, Suite 350, Melville, NY 11747-2354

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Smh Physician Services Inc — 774 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson