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Jacksonville Crnas Inc

Certified Registered Nurse Anesthetist in Jacksonville, IL · enumerated 2010 · authorized official David Bolen, Vice President & Cfo.

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

National Provider Identifier

1821302068

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Registry record

Entity type Organization (Type 2)
Legal business name Jacksonville Crnas Inc
Practice address 1600 W Walnut St, Jacksonville, IL, 62650
Fax (217) 479-8781
Enumeration date Jul 29, 2010
Last updated in NPPES Jul 31, 2013

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Secondary
367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name David Bolen
Title Vice President & Cfo

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.

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Frequently asked questions

Where is Jacksonville Crnas Inc located?
The practice location on file with NPPES is in Jacksonville, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-07-31. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-31.