Individual
ANITA BOX THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2908 S LAMAR BLVD STE 100, OXFORD, MS 38655-5375
(662) 281-0112
(662) 281-0943
Mailing address
2908 S LAMAR BLVD STE 100, OXFORD, MS 38655-5375
(662) 281-0112
(662) 281-0943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R777188
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123850
—
MS
Enumeration date
08/23/2005
Last updated
12/29/2021
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