Individual provider · Type 1 NPI

Kellie Thornton, NP

Gerontology Nurse Practitioner · Tupelo, MS

NPI number 1851757413 Active

Practice location

450 E President Ave
Tupelo, MS 38801-5599

Call (662) 377-4685 Map

Fax (662) 377-2755

Mailing address

830 S Gloster St, 1st Floor East Tower
Tupelo, MS 38801-4934

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X901391 (MS)

Gerontology Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1851757413

Kellie Thornton, NP's National Provider Identifier is 1851757413, issued on Jan 12, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Tupelo, MS. The record was last updated on Jan 12, 2016.