Individual
JESSIE L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-2686
Mailing address
350 BLOUNTVILLE HWY, SUITE 207, BRISTOL, TN 37620-0213
(423) 968-4540
(423) 968-5697
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
135400
TN
Other
Enumeration date
11/05/2007
Last updated
04/22/2014
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