Individual
JAMES MICHAEL RAINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1815 MISSION 66, VICKSBURG, MS 39180-3709
(601) 638-8801
(601) 326-3537
Mailing address
1421 N STATE ST, SUITE 203, JACKSON, MS 39202-1658
(601) 355-1234
(601) 326-3537
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R503886
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04833363
—
MS
Enumeration date
02/29/2008
Last updated
01/29/2009
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