NPI 1134491806

Kendall Shea Thornton, FNP

Practitioner Nurse Practitioner Leakesville, MS

Practice location

Address: 1616 Williams Dr, Leakesville, MS 39451-5622
Phone: (601) 394-2381
Fax: (601) 394-2593
Mailing address: 940 Matthew Dr STE 2, Waynesboro, MS 39367-2573

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence R876172 (MS)

Other Nurse Practitioner providers in Mississippi →

Registry record

NPI: 1134491806
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jan 2012
Record last updated: 28 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.