Individual
SUSAN L GRANING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6441
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6441
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R827687
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114407
—
MS
05
—
1650692
—
LA
01
—
P01761805
RAILROAD MEDICARE
MS
Enumeration date
12/19/2006
Last updated
02/09/2017
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