Individual
KAYLA DEAN THURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
509 BROOKMAN DR, BROOKHAVEN, MS 39601-2326
(601) 823-5204
Mailing address
509 BROOKMAN DR, BROOKHAVEN, MS 39601-2326
(601) 823-5204
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R891619
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03353859
—
MS
Enumeration date
09/24/2015
Last updated
01/14/2020
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