Individual
JUDY THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4100 MAMIE ST, HATTIESBURG, MS 39402-1735
(601) 544-4641
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
868359
MS
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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