Individual provider · Type 1 NPI
Miranda M. Thurmond
Psychiatric/Mental Health Nurse Practitioner · Gardena, CA
NPI number
1487438495
Active
Practice location
1225 W 190th St Ste 280
Gardena, CA 90248-4305
Mailing address
3522 Fontaine Ave
Jackson, MS 39213-5657
Other practice locations
- 3522 Fontaine Ave, Jackson, MS 39213-5657 · (601) 564-3012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 906212 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1487438495
Miranda M. Thurmond's National Provider Identifier is 1487438495, issued on Aug 21, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gardena, CA. The record was last updated on Sep 30, 2026.