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Traci Michelle Thomas, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Sumner, Illinois
NPI 1073297636

Traci Michelle Thomas is a Psychiatric/Mental Health Nurse Practitioner based in Sumner, IL and is specialized in Psychiatric/Mental Health. Traci Michelle Thomas practices in Sumner, IL and has the professional credentials of PMHNP-BC. The NPI Number for Traci Michelle Thomas is 1073297636 and holds a License No. 209027549 (Illinois).

The current practice location address for Traci Michelle Thomas is 10940 Lawrence Rd, Sumner, IL and can be reached out via phone at 618-936-2064.

Location: 10940 Lawrence Rd, Sumner, IL, 62466-4915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073297636
Provider Name
Traci Michelle Thomas
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
10940 Lawrence Rd, Sumner, IL, 62466-4915
Phone Number
618-936-2064
Fax Number
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10940 Lawrence Rd
City
Sumner
State
Illinois
Zip
62466-4915
Phone Number
618-936-2064
Fax Number
person
Provider Business Mailing Address Details
Address
10940 Lawrence Rd
City
Sumner
State
Illinois
Zip
62466-4915
Phone Number
618-936-2064
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
209027549 (Illinois)
Definition
Definition to come...
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