Individual
KATHRYN LEMAIRE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-8000
Mailing address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-8000
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
ARNP9403514
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003160532A
—
GA
05
—
014669500
—
FL
Enumeration date
03/18/2015
Last updated
07/17/2015
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