Mrs. Sarah Nicole Thames
Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
117 S 11th Ave
Laurel
, Mississippi 39440-4312
Mrs. Sarah Nicole Thames
Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
117 S 11th Ave
Laurel
, Mississippi 39440-4312
(601) 425-3033
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About
Features
Specialties
- Nurse Practitioner - Community Health
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Sarah Nicole Thames
- Po Box 4361
- Laurel, MS
- Zip : 39441-4361
- Phone : (601) 425-3033
Second Address
- Mrs. Sarah Nicole Thames
- 117 S 11th Ave
- Laurel, MS
- Zip : 39440-4312
- Phone : (601) 425-3033
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LC1500X | Nurse Practitioner - Community Health | 903271 | MS |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 903271 | MS |
National Provider Identifier
| NPI | 1093373110 |
|---|---|
| Provider Name | Mrs. Sarah Nicole Thames |
| First Address | Laurel, MS 39441-4361 |
| Second Address | Laurel, MS 39440-4312 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2019 |
| Last Update Date | 19/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| NA | (05) | MS |
| NA | NA (01) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.