Whalio Doctors

NPI 1053951194

Zachary Halliwell, CRNA

Practitioner Certified Registered Nurse Anesthetist Jackson, MS

Practice location

Address
969 Lakeland Dr, Jackson, MS 39216-4606
Phone
(601) 200-2000
Mailing address
PO Box 235019, Montgomery, AL 36123-5019

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 899108 (MS)

Registry record

NPI
1053951194
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Jan 2020
Record last updated
7 Jan 2020

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.