Healthcare Provider Details

I. General information

NPI: 1750523221
Provider Name (Legal Business Name): NATARSHA NICOLE THOMAS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2009
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 LEM TURNER RD # 2
JACKSONVILLE FL
32208-2758
US

IV. Provider business mailing address

8000 LEM TURNER RD # 2
JACKSONVILLE FL
32208-2758
US

V. Phone/Fax

Practice location:
  • Phone: 904-539-8200
  • Fax:
Mailing address:
  • Phone: 904-539-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9334423
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: