IndividualActive
Jerry Clarkson, CRNA
NPI 1558339010 · Certified Registered Nurse Anesthetist · Pratt, KS
Provider details
- NPI number
- 1558339010
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 54408 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
200 Commodore St
Pratt, KS 67124-2903
Phone: (620) 672-7451
Fax: (316) 652-0340
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1919
Wichita, KS 67201-1919
Registry dates
- Enumerated
- 2006-03-10
- Last updated
- 2011-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.