Individual provider · Type 1 NPI

Beverly Fulgham Stafford, CRNA

Certified Registered Nurse Anesthetist · Jackson, MS

NPI number 1942396650 Active

Practice location

1500 E Woodrow Wilson
Jackson, MS 39216

Call (601) 362-4471 Map

Fax (601) 368-4479

Mailing address

104 Tracier Crst
Clinton, MS 39056-6236

Specialties and licenses

Taxonomy	Code	License
Certified Registered Nurse Anesthetist Primary	367500000X	R734107 (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 1942396650

Beverly Fulgham Stafford, CRNA's National Provider Identifier is 1942396650, issued on Oct 4, 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 Jan 22, 2008.