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

Mr. Jacob Rathbun

Individual provider Certified Registered Nurse Anesthetist · NPI 1972258739

Mr. Jacob Rathbun is a Certified Registered Nurse Anesthetist (CRNA) in Jonesboro, Arkansas. Qualified in 2022, 4 years ago. Practices with Lifelinc Anesthesia V, PA, a 41-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
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Practice location Address checks out

225 E Washington Ave
Jonesboro, AR 72401-3111
Phone: (870) 207-4100
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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 2022019013 (MO)

Record details

NPI number1972258739
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 19, 2022
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address35 County Road 7283, Jonesboro, AR 72405-5192

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lifelinc Anesthesia V, P.A. — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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