Individual
BRENDA K THORNHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
912 SUMRALL RD, COLUMBIA, MS 39429-2652
(601) 736-6443
(601) 736-2543
Mailing address
912 SUMRALL RD, COLUMBIA, MS 39429-2652
(601) 736-6443
(601) 736-2543
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R126010
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121103
—
MS
Enumeration date
10/05/2005
Last updated
01/20/2010
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