Individual
JESSICA JE'NAE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
280 COBB PKWY SE, SUITE 60, MARIETTA, GA 30060
(678) 820-7373
(415) 252-7176
Mailing address
1 EMBARCADERO CTR FL 19, SAN FRANCISCO, CA 94111-3628
(415) 658-6791
(415) 252-7176
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN206683
GA
363LW0102X
Women's Health Nurse Practitioner
RN828608
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144453C
—
GA
Enumeration date
06/12/2013
Last updated
07/11/2025
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