Individual
MARLISHA LORRAINE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 FOREST LN STE C833, DALLAS, TX 75230-2591
(972) 566-4591
(972) 566-6679
Mailing address
5577 YARBOROUGH DR, FORNEY, TX 75126-3391
(662) 440-0301
(469) 242-9833
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP144002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
894032
COMPACT LICENSE(RN)
MS
01
—
AP144002
APRN
TX
Enumeration date
11/14/2019
Last updated
01/24/2022
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