Individual
JIL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7406 FULLERTON ST, JACKSONVILLE, FL 32256-3552
(813) 690-5274
Mailing address
7406 FULLERTON ST, JACKSONVILLE, FL 32256-3552
(813) 690-5274
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3087862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154785921
NPI
FL
Enumeration date
04/07/2016
Last updated
06/28/2020
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