Individual
DR. BRENNON SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6441
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901413
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06105744
—
MS
Enumeration date
01/10/2017
Last updated
03/02/2017
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