Individual
LINDA BONE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-BC
Contact information
Practice address
1911 MISSION 66 STE B, VICKSBURG, MS 39180-3762
(601) 665-4162
(855) 830-3484
Mailing address
215 KATHERINE DR STE A, FLOWOOD, MS 39232-9588
(601) 665-4162
(855) 830-3484
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
902984
MS
363LF0000X
Family Nurse Practitioner
902984
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
902984
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001833256
—
MS
01
—
2018069079
APRN
MS
Enumeration date
10/17/2018
Last updated
08/16/2023
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