Doctor Name: | ALISON LEIGH THORNHILL |
NPI Number: | 1528409612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | AP07430 |
Business Practice Address: | 101 Campo Ln Attn: Medical Department Amite, LA - 704222446 |
Business Phone Number: | 9857483389 |
Business Fax Number: | 9857484661 |
Mailing Address: | 114 Laurelwood Dr, COVINGTON |
State: | LA |
Postal Code: | 704334730 |
Phone Number: | 9857738808 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2013 |
NPI Last Update Date: | 07/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP07430 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |