Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Lee Suddreth, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1083676274

Jack Lee Suddreth, CRNA is a Certified Registered Nurse Anesthetist in Petersburg, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

801 S Adams St
Petersburg, VA 23808-2938
Phone: (804) 862-5000
Fax: (804) 862-5948

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0024164859 (VA)

Record details

NPI number1083676274
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 4, 2006
Last updated in NPPESJuly 13, 2026

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