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NPI Code Detail

MEDICARE: JESSICA LYNN THOMAS APRN, FNP-C

MEDICARE: JESSICA LYNN THOMAS APRN, FNP-C
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
1363LF0000XFamily Nurse Practitioner10060600OR

General Provider Information

NPI Number : 1184568065
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LYNN THOMAS APRN, FNP-C
Provider Business Mailing Address
First Line : 2181 BURKHART ST SE
Second Line :
City : ALBANY
State : OR
Zip : 97322-5459
Country : US
Telephone Number : 503-853-5365
Fax Number :
Provider Business Practice Location Address
First Line : 1430 MONMOUTH ST
Second Line :
City : INDEPENDENCE
State : OR
Zip : 97351-1127
Country : US
Telephone Number : 503-917-2255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 06/12/2026

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