Individual
KAYLA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
192 COLLEGE ST, SHUQUALAK, MS 39361
(662) 361-9482
Mailing address
PO BOX 96, SHUQUALAK, MS 39361-0096
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905608
MS
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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