| Doctor Name: | CANDACE ELEASE THOMAS |
| NPI Number: | 1083025241 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 385H00000X |
| Business Practice Address: | 2425 S Pearson Rd Pearl, MS - 392089443 |
| Business Phone Number: | 6019837168 |
| Business Fax Number: | 7692575659 |
| Mailing Address: | Po Box 335, JACKSON |
| State: | MS |
| Postal Code: | 392050335 |
| Phone Number: | 6019837168 |
| Fax Number: | 7692575659 |
| NPI Enumeration Date: | 05/09/2014 |
| NPI Last Update Date: | 05/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3747A0650X |
| License Number: | 385H00000X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Technician |
| Taxonomy Specialization: | Attendant Care Provider |
| Taxonomy Definition: | An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |