NPI 1023580693

John Tyler McLendon

Practitioner Certified Registered Nurse Anesthetist Jackson, MS

Practice location

Address: 1850 Chadwick Dr, Jackson, MS 39204-3404
Phone: (601) 376-1000
Mailing address: 128 Asbury Sq, Pearl, MS 39208-9362

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 122134 (MS)

Other Nurse Anesthetist, Certified Registered providers in Mississippi →

Registry record

NPI: 1023580693
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2018
Record last updated: 20 Dec 2018

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.