Individual
AMY MONETT-SHAMON SHOULDERS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
115 W MADISON ST, BOLTON, MS 39041-3209
(601) 866-7723
(601) 866-7773
Mailing address
115 W MADISON ST, BOLTON, MS 39041-3209
(601) 866-7723
(601) 866-7773
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0312107
MS
Other
Enumeration date
07/02/2012
Last updated
09/05/2021
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