Individual
KATHY BEARD THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG-ACNP-BC
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-2539
(662) 377-2920
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-2539
(662) 377-2920
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R777155
MS
Other
Enumeration date
06/20/2014
Last updated
06/27/2014
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