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NPI Code Detail

MEDICARE: MS. JONDRA MICHELLE THOMAS PMHNP-BC

MEDICARE: MS. JONDRA MICHELLE THOMAS PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.0041026OH

General Provider Information

NPI Number : 1851258131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JONDRA MICHELLE THOMAS PMHNP-BC
Provider Business Mailing Address
First Line : 101 CABARRUS AVE E STE 200
Second Line :
City : CONCORD
State : NC
Zip : 28025-3781
Country : US
Telephone Number : 919-932-5700
Fax Number :
Provider Business Practice Location Address
First Line : 1645 MAPLEWOOD DR
Second Line :
City : STREETSBORO
State : OH
Zip : 44241-5662
Country : US
Telephone Number : 919-932-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 02/07/2026

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