| Doctor Name: | AMY MONETT-SHAMON THOMAS |
| NPI Number: | 1831453091 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | F0312107 |
| Business Practice Address: | 115 W Madison St Bolton, MS - 390413209 |
| Business Phone Number: | 6018667723 |
| Business Fax Number: | 6018667773 |
| Mailing Address: | 115 W Madison St, BOLTON |
| State: | MS |
| Postal Code: | 390413209 |
| Phone Number: | 6018667723 |
| Fax Number: | 6018667773 |
| NPI Enumeration Date: | 07/02/2012 |
| NPI Last Update Date: | 03/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F0312107 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |