Individual
MRS. JESSICA KAYE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
8 COUNTRY WAY, WATERVILLE, ME 04901-4101
(440) 376-5884
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA203059
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2018
Last updated
02/24/2024
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