Individual
MR. THOMAS MALONEY HARKINS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
971 LAKELAND DR STE 657, JACKSON, MS 39216-4608
(601) 200-2780
(601) 200-2788
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-2780
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
908143
MS
363LG0600X
Gerontology Nurse Practitioner
Primary
908143
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2026
Last updated
02/11/2026
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