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

Nicole R Hazelwood, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1558504076

Nicole R Hazelwood, CRNA is a Certified Registered Nurse Anesthetist in Jackson, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2009
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

216 Elm St
Jackson, MO 63755-1708
Phone: (573) 576-1903
Show map & directions

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

Additional practice locations (1)

  • 1101 W Liberty St, Farmington, MO 63640-1921 — (573) 760-8002

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2002019453 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 041429789 (IL)

Record details

NPI number1558504076
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedApril 14, 2009
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021