Jackson, Miranda S

Jackson, Miranda S is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5703. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Jackson, Miranda S can be contacted via phone (715) 387-5511.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449-5703
Phone: (715) 387-5511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 16896 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 117215-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 138117 Colorado
Nursing Service Providers / Registered Nurse 163W00000X RN9509988 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN11032969 Florida

Profile Details

NPI number 1447888243
LBN Legal business name Jackson, Miranda S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2020
Last updated May 7th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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