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

Mr. Mark Wayne Jackson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1043438443

Mr. Mark Wayne Jackson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Knoxville, Tennessee. Qualified in 1987, 39 years ago. Practices with Commonwealth Health Corporation, Inc, a 263-clinician group and accepts Medicare assignment. Licensed in Kentucky and Tennessee.

Years since qualifying
39
Licensed in
KY, TN
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

1901 Clinch Ave
Knoxville, TN 37916-2307
Phone: (865) 331-1111
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 9250 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 1123A (KY)

Record details

NPI number1043438443
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 23, 2007
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Commonwealth Health Corporation, Inc. — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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