Individual
SHELBY SIRMON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1490 W GOVERNMENT ST STE 10, BRANDON, MS 39042-3024
(601) 825-1936
(601) 825-1937
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
R897482
MS
363LF0000X
Family Nurse Practitioner
Primary
904967
MS
Other
Enumeration date
10/15/2019
Last updated
01/13/2022
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