Individual
SARA HANAK GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5815
(601) 984-5842
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5815
(601) 984-5842
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19946
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09375393
—
MS
05
—
196519
—
MS
Enumeration date
06/22/2007
Last updated
04/19/2017
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