Individual
JASON WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2569
(228) 865-3281
(228) 867-5117
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 575-1194
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901770
MS
Other
Enumeration date
04/29/2022
Last updated
05/04/2022
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