| Kristina Gayle Jackson, CRNA | |
|
755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 | |
| (409) 838-5214 | |
| Not Available |
| Full Name | Kristina Gayle Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 755 N 11th St, Beaumont, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558684183 | NPI | - | NPPES |
| 4266382 | Other | TN | BLUE CROSS OF TN |
| 07805512 | Medicaid | MS | |
| P00907129 | Other | TN | RAILROAD MEDICARE |
| 1521274 | Medicaid | TN | |
| 1558684183 | Other | TN | CHAMPUS/HUMANA TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN0000142813 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APN 15075 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Gayle Jackson, CRNA Po Box 5587, Beaumont, TX 77726-5587 Ph: (409) 838-5214 | Kristina Gayle Jackson, CRNA 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 Ph: (409) 838-5214 |
Mrs. Bonni Blue Stancoven, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 | |
Mrs. Ashley Lynn Billot, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-838-5214 | |
Steven Chad Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 Fax: 409-838-1946 | |
Derek Chambless, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 | |
Mr. Selby Reed Thames, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 755 N 11th St Ste P3600, Beaumont, TX 77702 Phone: 469-437-3564 Fax: 469-825-6903 | |
Thomas Maddox, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P3600, Beaumont, TX 77702 Phone: 409-838-5214 | |
Keli Ardoin Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 755 N 11th St, Suite P 3600, Beaumont, TX 77702 Phone: 409-838-5214 |