Organization
ST DOMINIC HOSPITAL CRNA'S
Active
Parent organization
ST DOMINIC JACKSON MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST DOMINIC JACKSON MEMORIAL HOSPITAL
Authorized official
JENNIFER SINCLAIR (FISCAL SERVICES)
(601) 200-6756
Entity
Organization
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(800) 749-2940
Mailing address
PO BOX 22670, JACKSON, MS 39225-2670
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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