| Doctor Name: | BOBBIE THORNTON |
| NPI Number: | 1770952525 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 2015032906 |
| Business Practice Address: | 810 W Main St Sheldon, MO - 647849223 |
| Business Phone Number: | 4176673355 |
| Business Fax Number: | |
| Mailing Address: | 800 S Ash St, NEVADA |
| State: | MO |
| Postal Code: | 647723223 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2015 |
| NPI Last Update Date: | 10/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2015032906 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |