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

Mr. William Materson Jackson, CRNFA

Individual provider Registered Nurse First Assistant · NPI 1083904502

Mr. William Materson Jackson, CRNFA is a Registered Nurse First Assistant in Blacksburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2011

Practice location Address checks out

1730 Brunswick Dr
Blacksburg, VA 24060-1988
Phone: (540) 953-1970
Show map & directions

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

Specialties & licences

Registered Nurse First Assistant (primary) Taxonomy 163WR0006X · Licence 0001170063 (VA)

Record details

NPI number1083904502
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNFA
Sole proprietorYes
NPI enumeratedApril 18, 2011
Last updated in NPPESApril 18, 2011