Individual
MISS STACY PARKER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
604 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-1311
Mailing address
604 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-1311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R870535
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
870535
MS
Other
Enumeration date
06/15/2012
Last updated
03/15/2022
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