Shaundrele Evette Thomas
Individual provider Active NPI Phlebotomy Technician · Nesbit, MS
NPI 1689375172 · NPPES record last updated Mar 13, 2023
Key facts
- NPI
- 1689375172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Phlebotomy Technician 246RP1900X
- License
- 10725 (MS)
- Practice address
- 1151 Highway 51 N Lot 335
Nesbit, MS 38651-8446 - Phone
- (662) 420-8814
- NPI assigned
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10725 | MS | MD | Ophthalmology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician |
246RP1900X | 10725 | MS | Yes |
Addresses
Primary practice location
1151 Highway 51 N Lot 335
Nesbit, MS 38651-8446
Mailing address
1151 Highway 51 N Lot 335
Nesbit, MS 38651-8446
Phone (662) 420-8814
Other providers in Nesbit, MS
- Patricia at Your Service., LLC
- Abby Peacock
- Nicole Rocco-Lapinski
- Seniors First Homecare
- Narah Smith
- Sheila McLean Williamson
All providers in Nesbit, MS · Phlebotomy Technician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.