MIRANDA S JACKSON

MARSHFIELD, WI
NPI1447888243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CO  138117)
Additional Taxonomies163W00000X Registered Nurse
(Licence: FL  RN9509988)
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI  16896)
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  APRN11032969)
Enumeration Date2020-03-29
Last Update Date2025-09-17
Business Address
MIRANDA S JACKSON CRNA
1000 N OAK AVE
MARSHFIELD, WI 54449-5703
Phone number: 715-387-5511
Mailing Address
MIRANDA S JACKSON CRNA
11583 E 118TH PL
COMMERCE CITY, CO 80640-7419
Phone number: 303-522-2941