Individual
JAMES MORDECAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727
Mailing address
PO BOX 1664, MUSKOGEE, OK 74402-1664
(405) 947-8585
(405) 948-6507
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0032436
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100784540F
—
OK
05
—
1721794
—
LA
01
—
487920200
DEPT OF LABOR
OK
Enumeration date
09/05/2006
Last updated
05/07/2025
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