Individual
JENNIFER ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
525 E 68TH ST STE M404, NEW YORK, NY 10065-4870
(212) 746-5873
Mailing address
525 E 68TH ST STE M404, NEW YORK, NY 10065-4870
(212) 746-5873
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
689659
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
309637
NY
Other
Enumeration date
04/12/2021
Last updated
12/27/2021
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