Lookup NPI Numbers from the NPI Registry
NPI Profile for LYLE J JACKSON in IDAHO FALLS, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthopedic |
163WX0800X | |||
Nurse Anesthetist, Certified Registered |
367500000X | 43 | Certified Registered Nurse Anesthetist (CRNA) |
| NPI # | 1225597305 |
|
| Status | Active | |
| Credentials | CRNA (Certified Registered Nurse Anesthetist) | |
| Entity | Individual | |
| Enumeration date | 03/18/2019 | |
| Last updated | 06/30/2025 - About 11 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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LYLE J JACKSON
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LYLE J JACKSON, CRNA