Individual
STEVEN MAXWELL HARMON
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
622 CONTI DR, BRANDON, MS 39042-6611
(601) 701-5089
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901830
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
901830
CRNA
MS
Enumeration date
01/24/2023
Last updated
01/24/2023
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