Individual
MRS. DENICIA MARIA RANKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
88 BOYD DR, JACKSON, TN 38305-2152
(228) 369-5397
Mailing address
88 BOYD DR, JACKSON, TN 38305-2152
(228) 369-5397
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000172324
TN
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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