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Lisa Jackson, CRNA

NPI 1972696516 · on the registry since 2006 · sole proprietor

Practice

Address
1500 E. Woodrow Wilson
Jackson, MS 39216
Phone
(601) 362-4471
Fax
(601) 368-4479
Clinicians at this address
12

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi