Individual
MRS. DOLORES MARIA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
215 W 6TH ST, COOKEVILLE, TN 38501-1723
(931) 783-2800
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18011
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6075779
BCBS
TN
05
—
7100431460
—
KY
05
—
Q002285
—
TN
Enumeration date
10/02/2013
Last updated
05/27/2022
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