Individual
TAMRA LYNN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2117 BROADWAY DRIVE, HATTIESBURG, MS 39402-3210
(601) 288-8050
(601) 288-8058
Mailing address
2117 BROADWAY DRIVE, HATTIESBURG, MS 39402-3210
(601) 288-8050
(601) 288-8058
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R892916
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05122053
—
MS
Enumeration date
02/25/2014
Last updated
02/24/2025
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