Individual
MR. JASON ALLEN MCCAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGPCNP
Contact information
Practice address
297 COUNTY ROAD 244, ETTA, MS 38627-9523
(662) 281-9992
Mailing address
297 COUNTY ROAD 244, ETTA, MS 38627-9523
(662) 281-9992
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904153
MS
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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