Callan Gannon Jones, CRNA
Nurse Anesthetist, Certified Registered in Valparaiso, IN. Individual provider (NPI-1).
NPI number1144868043
StatusActive
Last updated in NPPESFeb 5, 2020
Details
- NPI
- 1144868043
- Entity type
- Individual (NPI-1)
- Name
- Callan Gannon Jones
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 11, 2019
- Certification date
- Feb 5, 2020
- Last updated
- Feb 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 130216 | UT | Yes |
| 163W00000X | Registered Nurse | 28255656A | IN |
Practice location
83 E Us-6 Frontage RoadValparaiso, IN 46383
Phone 219-983-8300
Mailing address
28 N Palafox StPensacola, FL 32502
Phone 941-360-1566 · Fax 941-358-9818
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All 7 Certified Registered Nurse Anesthetist providers in Valparaiso · All 2,029 providers in Valparaiso
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