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

Justin Chaz Malone, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1710537592

Justin Chaz Malone, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tupelo, Mississippi. Qualified in 2019, 7 years ago. Practices with Lifelinc Anesthesia PLLC, a 167-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2019
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

830 S Gloster St
Tupelo, MS 38801-4934
Phone: (662) 377-4394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 901581 (MS)

Record details

NPI number1710537592
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 13, 2019
Last updated in NPPESSeptember 13, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lifelinc Anesthesia Pllc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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