Individual provider · Type 1 NPI

Gary Dwayne Self

Certified Registered Nurse Anesthetist · Jackson, MS

NPI number 1831290022 Active

Practice location

2500 N State St, Patient Finanical Services
Jackson, MS 39216-4500

Call (601) 984-4619 Map

Fax (601) 984-4657

Mailing address

2500 N State Street, Patient Finanical Services
Jackson, MS 39216

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XR598755 (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 1831290022

Gary Dwayne Self's National Provider Identifier is 1831290022, issued on Sep 26, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Jackson, MS. The record was last updated on Dec 22, 2010.