MEDICARE: FRANCES THOM APRN

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
1	363LA2200X	Adult Health Nurse Practitioner	NP 17796	CA
2	363LA2200X	Adult Health Nurse Practitioner	3005354	KY
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	908220	MS
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	39691	TN
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	3005354	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3005354	OTHER	KY	KY NP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	NP 17796	OTHER	CA	NP NUMBER
4	288696	OTHER	CA	RN NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730369356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES THOM APRN

Provider Business Mailing Address
First Line	:	215 E 11TH ST
Second Line	:
City	:	NEWPORT
State	:	KY
Zip	:	41071-2203
Country	:	US
Telephone Number	:	859-655-6100
Fax Number	:	859-721-3918

Provider Business Practice Location Address
First Line	:	101 ORCHARD DR
Second Line	:
City	:	NICHOLASVILLE
State	:	KY
Zip	:	40356-2690
Country	:	US
Telephone Number	:	859-881-4288
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2007
Last Update Date	:	03/23/2026

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Directions to “ FRANCES THOM APRN” Practice Location

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