Individual
JENNIFER ANN THOMAS
Active
Individual
JENNIFER ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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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