Provider Demographics
NPI:1730185521
Name:LOVELESS, THOMAS JAMES (MSN, CRNP, PHD)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:JAMES
Last Name:LOVELESS
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Gender:M
Credentials:MSN, CRNP, PHD
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Mailing Address - Street 1:729 GROVE AVENUE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-6008
Mailing Address - Country:US
Mailing Address - Phone:215-355-9634
Mailing Address - Fax:215-357-7540
Practice Address - Street 1:729 GROVE AVENUE
Practice Address - Street 2:SUITE 4
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-6008
Practice Address - Country:US
Practice Address - Phone:215-355-9634
Practice Address - Fax:215-357-7540
Is Sole Proprietor?:No
Enumeration Date:2005-06-26
Last Update Date:2021-05-19
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Provider Licenses
StateLicense IDTaxonomies
PASP007656363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health