Individual
JENNIFER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
162 LEGACY OAKS DR, KNIGHTDALE, NC 27545-6556
(919) 373-1810
Mailing address
4200 CLAVA DRIVE, RALEIGH, NC 27616
(216) 526-0248
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012077
NC
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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