Individual
DR. MARY ELIZABETH HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
1190 SEQUOYA TRL, COLUMBIA, TN 38401-8411
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901524
MS
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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