Individual provider · Type 1 NPI
Wycondaroga E. Thomas
Family Nurse Practitioner · Gunnison, MS
NPI number
1184091894
Active
Practice location
820 Ashland Avenue
Gunnison, MS 38746
Fax (662) 987-5025
Mailing address
PO Box 357
Gunnison, MS 38746-0357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R892043 (MS) |
| Family Nurse Practitioner | 363LF0000X | 35217 (TN) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 890243 (MS) |
| Family Nurse Practitioner Primary | 363LF0000X | 890243 (MS) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1184091894
Wycondaroga E. Thomas's National Provider Identifier is 1184091894, issued on Aug 28, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gunnison, MS. The record was last updated on Jun 16, 2025.