STACEY DAVIS

JACKSON, MS
NPI1760548648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R706574)
Enumeration Date2006-12-28
Last Update Date2014-10-06
Business Address
Ms. STACEY DAVIS
2500 N STATE ST PFS
JACKSON, MS 39216-4500
Phone number: 601-984-4619
Mailing Address
Ms. STACEY DAVIS
2500 N STATE ST PFS
JACKSON, MS 39216-4500
Phone number: 601-984-4619