JIMMY R JACKSON

TUPELO, MS
NPI1164449658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R539929)
Enumeration Date2006-07-17
Last Update Date2010-11-09
Business Address
-- JIMMY R JACKSON CRNA
830 SOUTH GLOSTER
TUPELO, MS 38801
Phone number: 662-377-4394
Mailing Address
-- JIMMY R JACKSON CRNA
PO BOX 3294
TUPELO, MS 38803-3294
Phone number: 662-377-4394
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