Healthcare Provider Details

I. General information

NPI: 1235595026
Provider Name (Legal Business Name): JOYCELYN RENE THOMAS DNP, ARNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2016
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 SW 160TH ST STE 100
BURIEN WA
98166-3003
US

IV. Provider business mailing address

275 SW 160TH ST STE 100
BURIEN WA
98166-3003
US

V. Phone/Fax

Practice location:
  • Phone: 253-378-1490
  • Fax: 253-336-9880
Mailing address:
  • Phone: 253-378-1490
  • Fax: 253-336-9880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60535358
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: