Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Lisa Ann Jackson, CRNA

Certified Registered Nurse Anesthetist in Havertown, PA · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215174990

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Registry record

Entity type Individual (Type 1)

Name Lisa Ann Jackson

Credential CRNA

Sex Female

Practice address 2010 Old W Chester Pike, Suite 330, Havertown, PA, 19083

Phone (610) 789-8070

Fax (610) 789-9937

Enumeration date Jan 16, 2009

Last updated in NPPES Jan 16, 2009

Taxonomy & licenses

367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 081637 (PA) Primary

CRNA · Certified Registered Nurse Anesthetist: An advanced practice nurse specializing in anesthesia care. About the CRNA credential

Other identifiers

Identifier	Type	State	Issuer
RN328670L	Other	PA	RN LICENSE
081637	Other	PA	AANA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Lisa Ann Jackson?

The National Provider Identifier (NPI) for Lisa Ann Jackson is 1215174990, a Type 1 (individual) record in the CMS NPPES registry.

Where does Lisa Ann Jackson practice?

The practice location on file with NPPES is in Havertown, PA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Vijaya Dukle Anesthesiology Physician · Havertown, PA NPI 1376532606

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-01-16.