Individual
JONATHAN ALEXANDER BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
1855 LAKELAND DR APT 129, JACKSON, MS 39216-0002
(786) 651-8143
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
T-5301
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
MS
Other
Enumeration date
04/03/2024
Last updated
07/02/2024
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