Individual
JENNIFER THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
649 N 200 E, VALPARAISO, IN 46383-9711
(219) 728-8223
Mailing address
649 N 200 E, VALPARAISO, IN 46383-9711
(219) 728-8223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041401225
IL
363LF0000X
Family Nurse Practitioner
209024505
IL
363LF0000X
Family Nurse Practitioner
Primary
71013308A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041401225
RPN LICENSE
IL
Enumeration date
12/07/2021
Last updated
12/04/2024
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