Angela Blake Thomas, FNP-C | |
710 Highway 371, 710 Hwy. 371, Mooreville, MS 38857-7356 | |
(662) 840-4577 | |
Not Available |
Full Name | Angela Blake Thomas |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 710 Highway 371, Mooreville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538589601 | NPI | - | NPPES |
03228399 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R879736 (Mississippi) | Primary |
Entity Name | North Mississippi Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541 |
Entity Name | Curana Health Of Mississippi Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013395615 PECOS PAC ID: 3678887700 Enrollment ID: O20150804003642 |
Mailing Address | Practice Location Address |
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Angela Blake Thomas, FNP-C 860 S Madison St, Tupelo, MS 38801-4905 Ph: (662) 377-7150 | Angela Blake Thomas, FNP-C 710 Highway 371, 710 Hwy. 371, Mooreville, MS 38857-7356 Ph: (662) 840-4577 |
Jessica N Hicks-robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 Highway 371, Mooreville, MS 38857 Phone: 662-840-4577 | |
Mrs. Venetta Danielle Henson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 Highway 371, Mooreville, MS 38857 Phone: 662-840-4577 Fax: 662-840-4594 | |
Sarah Freeman Adams, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Ms -371, Mooreville, MS 38857 Phone: 662-840-4577 |