Individual
JAMIE L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9981 S. HEALTH PARK DR, FORT MYERS, FL 33908-3618
(239) 343-5651
(239) 343-5652
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-5651
(239) 343-5652
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
COA.10145-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014679600
—
FL
Enumeration date
08/18/2008
Last updated
03/30/2021
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