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NPI Code Detail

MEDICARE: JENNA THOMAS FNP

MEDICARE: JENNA THOMAS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPRN11010297FL
2363LF0000XFamily Nurse PractitionerAPRN11010297FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386239606
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA THOMAS FNP
Provider Business Mailing Address
First Line : 1001 SW 34TH TER
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-5216
Country : US
Telephone Number : 262-573-0617
Fax Number :
Provider Business Practice Location Address
First Line : 21298 OLEAN BLVD
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33952-6705
Country : US
Telephone Number : 941-624-8719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2021
Last Update Date : 03/25/2026

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Directions to “ JENNA THOMAS FNP” Practice Location

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