Individual
JACOB THOMAS MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4701 MCCANN LN, MC LEANSVILLE, NC 27301-9776
(336) 908-4968
Mailing address
4701 MCCANN LN, MC LEANSVILLE, NC 27301-9776
(336) 908-4968
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
288033
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6800
NC
Other
Enumeration date
07/08/2021
Last updated
06/05/2024
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