Individual
CALLAN GANNON JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
83 E US-6 FRONTAGE ROAD, VALPARAISO, IN 46383
(219) 983-8300
Mailing address
28 N PALAFOX ST, PENSACOLA, FL 32502
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28255656A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
130216
UT
Other
Enumeration date
12/11/2019
Last updated
02/05/2020
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