BLAKELEY WARD

JACKSON, MS
NPI1184675571
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  r858198)
Enumeration Date2006-05-12
Last Update Date2026-03-04
Business Address
BLAKELEY WARD CRNA
2500 N STATE ST PFS
JACKSON, MS 39216-4500
Phone number: 601-984-4619
Mailing Address
BLAKELEY WARD CRNA
105 S GLEN PL
MADISON, MS 39110-6904
Phone number: 601-613-6609