Individual
JESSIE LENORA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 636-8926
(216) 986-1191
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
021135
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021135
MED LIC
OH
Enumeration date
06/21/2018
Last updated
09/01/2020
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