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Individual
ROGER DUANE THOMAS
Active
Individual
ROGER DUANE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
24628
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24628
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4046751
KY
Other
Enumeration date
08/21/2018
Last updated
09/23/2025
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