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Mrs. Sandra Faye Thomas, FNP
Nurse Practitioner in Jackson, Mississippi
NPI 1407870306

Sandra Faye Thomas is a Nurse Practitioner based in Jackson, MS. Sandra Faye Thomas practices in Jackson, MS and has the professional credentials of FNP. The NPI Number for Sandra Faye Thomas is 1407870306 and holds a License No. R772161 (Mississippi).

The current practice location address for Sandra Faye Thomas is 969 Lakeland Dr, Jackson, MS and can be reached out via phone at 601-200-4714 and via fax at 601-200-5929.

Location: 969 Lakeland Dr, Jackson, MS, 39216-4500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407870306
Provider Name
Sandra Faye Thomas
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
969 Lakeland Dr, Jackson, MS, 39216-4500
Phone Number
601-200-4714
Fax Number
601-200-5929
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00125897 05 MS
00125907 01 MS MEDICAID INDIVIDUAL PTAN
1407870306 01 MS INDIVIDUAL NPI
1659447878 01 MS GROUP NPI
04587370 05 MS
500001916 01 MS MEDICARE- GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
969 Lakeland Dr
City
Jackson
State
Mississippi
Zip
39216-4606
Phone Number
601-200-4714
Fax Number
601-200-5929
person
Provider Business Mailing Address Details
Address
969 Lakeland Dr
City
Jackson
State
Mississippi
Zip
39216-4606
Phone Number
601-200-4714
Fax Number
601-200-5929
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R772161 (Mississippi)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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