Individual
MS. BECKY B EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2500 N STATE ST, PFS, JACKSON, MS 39216-4500
(601) 944-4619
Mailing address
301 GRAYLING BLVD, MADISON, MS 39110
(601) 918-5311
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
39359
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
R558931
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123296
—
MS
Enumeration date
10/05/2006
Last updated
12/13/2010
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