JASON J SHANNON

JACKSON, MS
NPI1972935641
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R872238)
Enumeration Date2013-08-05
Last Update Date2013-08-05
Business Address
JASON J SHANNON CRNA
1225 N STATE ST
JACKSON, MS 39202-2064
Phone number: 601-968-1000
Mailing Address
JASON J SHANNON CRNA
1012 AUBURN DR
JACKSON, MS 39211-4226
Phone number: 769-524-4686