Individual provider · Type 1 NPI

Sally R. Thomas

Nurse Practitioner · Jackson, MS

NPI number 1487244356 Active

Practice location

969 Lakeland Dr
Jackson, MS 39216-4606

Fax (601) 200-6767

Mailing address

PO Box 23457
Jackson, MS 39225-3457

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X904076 (MS)
Nurse Practitioner Primary 363L00000X904076 (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 1487244356

Sally R. Thomas's National Provider Identifier is 1487244356, issued on Jan 24, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Nov 30, 2021.