Individual
KAREN W NELMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
(601) 815-0434
Mailing address
504 CLINTON CENTER DRIVE, CBO- SUITE 4300, CLINTON, MS 39056-5610
(601) 496-9524
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901498
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051551366
—
AL
05
—
05231510
—
MS
05
—
124769
—
AL
01
—
430068753
MEDICARE RAILROAD
AL
01
—
511-12357
BC BS OF AL
AL
Enumeration date
07/07/2006
Last updated
11/23/2021
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