Individual
LASHONDA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
110 PATTISON ST, PORT GIBSON, MS 39150-2853
(601) 702-0005
Mailing address
110 PATTISON ST, PORT GIBSON, MS 39150-2853
(601) 702-0005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907107
MS
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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