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

Robert Wallace, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1003950288

Robert Wallace, CRNA is a Certified Registered Nurse Anesthetist in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
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

367 Hospital Blvd
Jackson, TN 38305-2080
Phone: (731) 661-2227
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 53447 (TN)

Record details

NPI number1003950288
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 19, 2007
Last updated in NPPESNovember 4, 2011
Mailing address367 Hospital Blvd, Jackson, TN 38305-2080

Other providers in Jackson