Sylvester Lewis Thornton, NP
Nurse Practitioner, Family in Clarksdale, MS. Individual provider (NPI-1).
NPI number1366042277
StatusActive
Last updated in NPPESOct 29, 2020
Details
- NPI
- 1366042277
- Entity type
- Individual (NPI-1)
- Name
- Sylvester Lewis Thornton
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 29, 2020
- Certification date
- Oct 29, 2020
- Last updated
- Oct 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 904131 | MS | Yes |
Practice location
1970 Hospital DrClarksdale, MS 38614-7202
Phone 662-645-0275
Mailing address
Po Box 2053Clarksdale, MS 38614-8053
Phone 662-645-0275
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