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

Mr. Jonathan Wesley Jackson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1629273735

Mr. Jonathan Wesley Jackson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Laurinburg, North Carolina. Qualified in 2007, 19 years ago. Practices with Scotland Memorial Hospital, Inc, a 257-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
19
Licensed in
NC, SC
In the registry since
2007
Specialties on file
2
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

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone: (910) 610-4011
Fax: (910) 276-9412
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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 190408 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence APRN3271 (SC)

Record details

NPI number1629273735
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 19, 2007
Last updated in NPPESMay 1, 2014

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Scotland Memorial Hospital, Inc — 257 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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