Individual
JOHN TYLER MCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1000
Mailing address
128 ASBURY SQ, PEARL, MS 39208-9362
(601) 946-0156
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
122134
MS
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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