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

Michael Jack, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1629023288

Michael Jack, CRNA is a Certified Registered Nurse Anesthetist in Joplin, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

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.

See every abbreviation used in this directory →

Practice location Address checks out

1102 W 32nd St
Joplin, MO 64804
Phone: (417) 347-1078
Fax: (417) 347-1079
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 083875 (MO)

Record details

NPI number1629023288
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESOctober 23, 2007
Mailing addressPo Box 3810, Joplin, MO 64803-3810

Other providers in Joplin