NPI 1013213693

Theresa Ann Davis, CRNA

Practitioner Certified Registered Nurse Anesthetist Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 984-1000
Mailing address: 113 Timber Drive, Madison, MS 39110

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R874019 (MS)

Other Nurse Anesthetist, Certified Registered providers in Mississippi →

Registry record

NPI: 1013213693
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2011
Record last updated: 30 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.