Individual
RICHARD HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
883607
MS
367500000X
Certified Registered Nurse Anesthetist
AP07773
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02881572
—
MS
Enumeration date
06/05/2014
Last updated
12/14/2016
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