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

Mrs. Jacquelin N Victory, RN

Individual provider Registered Nurse · NPI 1073123790

Mrs. Jacquelin N Victory, RN is a Certified Registered Nurse Anesthetist (CRNA) in Greenville, North Carolina. Qualified in 2021, 5 years ago. Practices with Chs Anesthesia Services Group Inc, a 737-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone: (252) 847-4100
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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 6646 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 262101 (NC)

Record details

NPI number1073123790
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedAugust 6, 2020
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Chs Anesthesia Services Group Inc — 737 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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