Thornton, Mary
Thornton, Mary is an individual health care provider with primary practice located at 300 Rawls Dr Ste 1200, Mccomb MS 39648-2877. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thornton, Mary can be contacted via phone (601) 249-4710.Contact Information
Primary practice address
300 Rawls Dr Ste 1200
Mccomb MS 39648-2877
Phone: (601) 249-4710
Fax: (601) 249-4716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 533068 | Mississippi |
Profile Details
| NPI number | 1073545042 |
|---|---|
| LBN Legal business name | Thornton, Mary |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Feb 3rd, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073545042 | NPPES |
| Mississippi | MEDICAID | 00118902 |
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