Individual
JASON N BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1000
(601) 944-9780
Mailing address
11115 AMMAN AVE NE, ALBUQUERQUE, NM 87122-3376
(662) 216-9978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-58009
NM
367500000X
Certified Registered Nurse Anesthetist
R879866
MS
Other
Enumeration date
01/26/2012
Last updated
01/13/2020
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