Mark J Sistrunk in Jackson - Nurse Anesthetist, Certified Registered
Mark J Sistrunk - NPI 1578748455
Mark J Sistrunk is a Nurse Anesthetist, Certified Registered in Jackson, Mississippi. Mark J Sistrunk practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Mark J Sistrunk is 1578748455. The last update date is 2008-01-09.
Mark J Sistrunk's current location address is 971 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 6013621990 and fax number 6013621988. The mailing address for Mark J Sistrunk is 971 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J Sistrunk |
|---|---|
| Address | 971 Lakeland Dr, Jackson, Mississippi |
| Phone Number | 6013621990 |
| Fax Number | 6013621988 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1578748455 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2008-01-09 |
Provider Mailing Address Detail
| Address | 971 Lakeland Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164643 |
| Phone Number | 6013621990 |
| Fax Number | 6013621988 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R857282 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R857282 | MS | RN LICENSE |
Post Comment/ Review Below
What is the Mark J Sistrunk's unique identification number?
The Mark J Sistrunk has been assigned the NPI (National Provider Identifier) Number 1578748455 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mark J Sistrunk?
The Mark J Sistrunk is situated at 971 Lakeland Dr, in the city of Jackson, state of MS, with the zip code 392164643.
What is Mark J Sistrunk's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark J Sistrunk is Nurse Anesthetist, Certified Registered, and the taxonomy code that categorizes this field of expertise is 367500000X.
On what date did Mark J Sistrunk receive its 1578748455 assignment from the Centers for Medicare & Medicaid Services?
The Mark J Sistrunk was assigned its 1578748455 on 2008-01-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mark J Sistrunk most recently updated or refreshed?
The details pertaining to the Mark J Sistrunk, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-09.