Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Braden Shane Likens, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205438694

Braden Shane Likens, MD is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 — (405) 271-2316

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence T-5258 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205438694
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 11, 2020
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024

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