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

Lesley A Huckaby

Individual provider Certified Registered Nurse Anesthetist · NPI 1912290065

Lesley A Huckaby is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Michigan. Qualified in 2011, 15 years ago. Practices with Smh Physician Services Inc, a 774-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Pennsylvania.

Years since qualifying
15
Licensed in
MI, PA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-7836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 State St, Erie, PA 16550-0002 — (814) 453-3900

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704350436 (MI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN557254 (PA)

Record details

NPI number1912290065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 24, 2011
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Smh Physician Services Inc — 774 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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