John Shaughnessy III
in Jackson, MS. Individual provider (NPI-1).
NPI number1871024489
StatusActive
Last updated in NPPESDec 31, 2024
Details
- NPI
- 1871024489
- Entity type
- Individual (NPI-1)
- Name
- John Shaughnessy III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2017
- Certification date
- Dec 31, 2024
- Last updated
- Dec 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | 33327 | MS | Yes | |
| 208600000X | Surgery | 33327 | MS |
Practice location
971 Lakeland Dr Ste 1250Jackson, MS 39216-4609
Phone 601-200-2000 · Fax 601-200-5939
Mailing address
504 Clinton Center DriveCbo - Suite 4300
Clinton, MS 39056-5106
Phone 601-815-2005 · Fax 601-984-5110
Other practice locations
2500 N State St
Jackson, MS 39216-4500
Jackson, MS 39216-4500
Phone 601-815-2005 · Fax 601-984-5110
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