Individual
MRS. SARAH NICOLE THAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, MSN, RN
Contact information
Practice address
117 S 11TH AVE, LAUREL, MS 39440-4312
(601) 425-3033
Mailing address
PO BOX 4361, LAUREL, MS 39441-4361
(601) 425-3033
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
903271
MS
363LF0000X
Family Nurse Practitioner
Primary
903271
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
MS
05
—
NA
—
MS
Enumeration date
06/04/2019
Last updated
01/19/2021
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