Provider Demographics
NPI:1194762740
Name:JONES, RANSOM NEAL (CRNA)
Entity type:Individual
Prefix:MR
First Name:RANSOM
Middle Name:NEAL
Last Name:JONES
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:2500 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4500
Mailing Address - Country:US
Mailing Address - Phone:662-293-7670
Mailing Address - Fax:662-293-4310
Practice Address - Street 1:1867 CRANE RIDGE DR
Practice Address - Street 2:SUITE 250-A
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216
Practice Address - Country:US
Practice Address - Phone:601-366-1400
Practice Address - Fax:601-366-8167
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MSR855806367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03086785Medicaid