Individual
JENNIFER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
122 GORDON COMMERCIAL DR STE D, LAGRANGE, GA 30240-5754
(706) 845-4054
Mailing address
122 GORDON COMMERCIAL DR STE D, LAGRANGE, GA 30240-5754
(706) 845-4054
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
212148
GA
Other
Enumeration date
07/01/2021
Last updated
12/01/2023
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