Jackie Fortenberry, CRNA
NPI 1609902337 · Certified Registered Nurse Anesthetist · Jackson, MS
Jackie Fortenberry, CRNA is a Certified Registered Nurse Anesthetist provider in Jackson, MS (NPI 1609902337).
Provider details
- NPI number
- 1609902337
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- R114980 (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
- 2007-02-26
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jackie Fortenberry's NPI number?
- Jackie Fortenberry's National Provider Identifier (NPI) is 1609902337, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Fortenberry's specialty?
- Jackie Fortenberry is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jackie Fortenberry located?
- Jackie Fortenberry's practice location on file with NPPES is 1225 N State St, Jackson, MS 39202-2064.
- What is Jackie Fortenberry's phone number?
- The practice phone number listed in the NPPES registry for Jackie Fortenberry is (601) 968-1362.
- Is Jackie Fortenberry's NPI active?
- Yes — Jackie Fortenberry's NPI (1609902337) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.