Individual
MS. JENNIFER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
201 SAINT ANN DR, SUITE B, MANDEVILLE, LA 70471-3219
(985) 626-1717
(985) 674-2814
Mailing address
PO BOX 54482, NEW ORLEANS, LA 70154-4482
(985) 626-1717
(985) 674-2814
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP06790
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187821
—
LA
Enumeration date
03/30/2012
Last updated
08/12/2016
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