Individual provider · Type 1 NPI

Kendall Shea Thornton, FNP

Nurse Practitioner · Leakesville, MS

NPI number 1134491806 Active

Practice location

1616 Williams Dr
Leakesville, MS 39451-5622

Fax (601) 394-2593

Mailing address

940 Matthew Dr, Ste 2
Waynesboro, MS 39367-2573

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR876172 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1134491806

Kendall Shea Thornton, FNP's National Provider Identifier is 1134491806, issued on Jan 27, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Leakesville, MS. The record was last updated on Jan 28, 2016.