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

Individual provider Certified Registered Nurse Anesthetist · NPI 1538149265

Michael F Jackson, CRNA is a Certified Registered Nurse Anesthetist in Saint Louis, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
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

12639 Old Tesson Rd Ste 130
Saint Louis, MO 63128-4814
Phone: (636) 386-7222
Fax: (636) 386-7810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10010 Kennerly Rd, Saint Louis, MO 63128-2106 — (636) 386-7222

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 106810 (MO)

Record details

NPI number1538149265
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 19, 2006
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

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