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

Gary Dwayne Self

Individual provider Certified Registered Nurse Anesthetist · NPI 1831290022

Gary Dwayne Self is a Certified Registered Nurse Anesthetist in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

2500 N State St Patient Finanical Services
Jackson, MS 39216-4500
Phone: (601) 984-4619
Fax: (601) 984-4657
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R598755 (MS)

Record details

NPI number1831290022
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESDecember 22, 2010
Mailing address2500 N State Street, Patient Finanical Services, Jackson, MS 39216

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