Individual
MRS. DEANNA LYNN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
831 HILLCREST RD STE C, MOBILE, AL 36695-4075
(251) 633-4949
Mailing address
1700 SPRING HILL AVE STE 100, MOBILE, AL 36604-1416
(251) 435-1200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-066789
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-066789
STATE OF ALABAMA NURSING/CRNP LICENSE
AL
01
—
825-15649
ALABAMA BOARD OF MEDICAL EXAMINERS - QACSC
AL
Enumeration date
01/07/2013
Last updated
03/07/2023
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