Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE GANNON ACOSTA, CRNA
Active Sole ProprietorCertified Nurse Anesthetist (CRNA) · JACKSON, MS
Registration Details
- NPI Number
- 1699472928
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 7, 2023 (3.2015337082583 yrs)
- Last Updated
- Sep 25, 2023
- License
-
901835 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2500 N STATE STJACKSON, MS, 392164500Browse MS providers · Browse ZIP 39216
- Phone
- 6019841000
- 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.