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

RUSSELL GORDON WARDLAW, CRNA

Active

RUSSELL GORDON WARDLAW, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in JACKSON, Mississippi. NPI 1245466168 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · JACKSON, MS

Registration Details

NPI Number
1245466168
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2009 (17.212460550771 yrs)
Last Updated
Dec 15, 2010
License
R860211 (MS)

Practice Information

Address
2500 N STATE ST
JACKSON, MS, 392164500
Browse MS providers · Browse ZIP 39216
Phone
6019845900
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in JACKSON, MS

Name Credential NPI
MARY P. JOHNSON CRNA 1629050836
MR. MARK C. BURRELL CRNA 1730161779
MR. ANCE O. HAWKINS CRNA 1073578084
BLAKELEY WARD CRNA 1184675571
HAROLD NICHOLS CRNA 1699726158
JAMES GREGORY BURNHAM CRNA 1881644367
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.