Jimmy Jackson, CRNA
NPI 1164449658 · Certified Registered Nurse Anesthetist · Tupelo, MS
Jimmy Jackson, CRNA is a Certified Registered Nurse Anesthetist provider in Tupelo, MS (NPI 1164449658).
Provider details
- NPI number
- 1164449658
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- R539929 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2010-11-09
Frequently asked questions
- What is Jimmy Jackson's NPI number?
- Jimmy Jackson's National Provider Identifier (NPI) is 1164449658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jimmy Jackson's specialty?
- Jimmy Jackson is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jimmy Jackson located?
- Jimmy Jackson's practice location on file with NPPES is 830 South Gloster, Tupelo, MS 38801.
- What is Jimmy Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jimmy Jackson is (662) 377-4394.
- Is Jimmy Jackson's NPI active?
- Yes — Jimmy Jackson's NPI (1164449658) is active in the NPPES registry as of the last update on 2010-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.