Individual provider · Type 1 NPI

Jon T. Wall, CRNA

Certified Registered Nurse Anesthetist · Laurel, MS

NPI number 1598790974 Active

Practice location

1220 Jefferson St
Laurel, MS 39440-4355

Fax (601) 426-4000

Mailing address

PO Box 247
Laurel, MS 39441-0247

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XR866388 (MS)

Certified Registered Nurse Anesthetist: (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 resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1598790974

Jon T. Wall, CRNA's National Provider Identifier is 1598790974, issued on Jul 12, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Laurel, MS. The record was last updated on Feb 24, 2014.