MIRANDA JACKSON

GREELEY, CO
NPI1447888243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CO  138117)
Additional Taxonomies163W00000X Registered Nurse
(Licence: FL  RN9509988)
Enumeration Date2020-03-29
Last Update Date2022-05-20
Business Address
Dr. MIRANDA JACKSON CRNA
1801 16TH ST
GREELEY, CO 80631-5154
Phone number: 970-810-4121
Mailing Address
Dr. MIRANDA JACKSON CRNA
11583 E 118TH PL
COMMERCE CITY, CO 80640-7419
Phone number: 303-522-2941