Individual provider · Type 1 NPI

Miranda Deshawna Thomas, FNP

Family Nurse Practitioner · Kingsport, TN

NPI number 1629495247 Active

Practice location

4485 W Stone Dr, Suite 200
Kingsport, TN 37660-1050

Fax (423) 224-3169

Mailing address

105 W Stone Dr, Suite 6A
Kingsport, TN 37660-3365

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X0024171552 (VA)
Family Nurse Practitioner Primary 363LF0000X21526 (TN)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1629495247

Miranda Deshawna Thomas, FNP's National Provider Identifier is 1629495247, issued on Mar 20, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingsport, TN. The record was last updated on Aug 19, 2016.