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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CANON JADE BEISSEL, MD

Active

CANON JADE BEISSEL, MD is a Nephrology healthcare provider located in GRENADA, Mississippi. NPI 1154483394 is currently active in the NPPES registry. Verify at CMS.

Nephrology · GRENADA, MS

Registration Details

NPI Number
1154483394
Provider Type
Individual
Gender
Male
NPI Issued
Dec 14, 2006 (19.667307974096 yrs)
Last Updated
Jul 9, 2007
License
16518 (MS)

Practice Information

Address
35 W MONROE ST
GRENADA, MS, 389015222
Browse MS providers · Browse ZIP 38901
Phone
6622268229
Fax
6622263300
Primary Specialty
Nephrology
207RN0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.