Individual
JENNIFER ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1101 WILSON BLVD FL 6, ARLINGTON, VA 22209-2281
(888) 731-8994
Mailing address
112 MAVERICK CT, GRANBURY, TX 76049-1381
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001205407
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
0024168723
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-010
TRICARE/CHAMPUS
VA
01
—
10086920N
OPTIMA HEALTH
VA
01
—
1013235902
VIRGINIA PREMIER HEALTH PLAN
VA
05
—
1013235902
—
VA
05
—
7005854
—
NC
01
—
PAR
MULTIPLAN
VA
Enumeration date
05/17/2010
Last updated
02/27/2025
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