Provider Demographics
NPI:1386937449
Name:THURMOND, PATRICIA LUSK (FNP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LUSK
Last Name:THURMOND
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:LUSK
Other - Last Name:BELLOMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:500 COUNTY ROAD 176
Mailing Address - Street 2:
Mailing Address - City:DUTTON
Mailing Address - State:AL
Mailing Address - Zip Code:35744-8932
Mailing Address - Country:US
Mailing Address - Phone:256-746-5111
Mailing Address - Fax:256-746-5908
Practice Address - Street 1:1 COTTONVALLEY DR NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35810-6045
Practice Address - Country:US
Practice Address - Phone:256-746-5111
Practice Address - Fax:256-746-5908
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-057123363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily