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NPI Code Detail

MEDICARE: JENNIFER ELIZABETH THOMAS FNP

MEDICARE:   JENNIFER ELIZABETH 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 Practitioner743622TX

General Provider Information

NPI Number : 1801174396
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ELIZABETH THOMAS FNP
Provider Business Mailing Address
First Line : 8515 GREENVILLE AVE
Second Line : SUITE 108
City : DALLAS
State : TX
Zip : 75243-7011
Country : US
Telephone Number : 214-221-0855
Fax Number : 214-710-1303
Provider Business Practice Location Address
First Line : 8515 GREENVILLE AVE
Second Line : SUITE 108
City : DALLAS
State : TX
Zip : 75243-7011
Country : US
Telephone Number : 214-221-0855
Fax Number : 214-710-1303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2011
Last Update Date : 04/12/2022

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Directions to “ JENNIFER ELIZABETH THOMAS FNP” Practice Location

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