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Individual

MR. JEAN DAVID THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
SALEM FAMILY HEALTH CENTER, 47 CONGRESS STREET, SALEM, MA 01970
(978) 744-8388
Mailing address
27 CONGRESS ST STE 513, SALEM, MA 01970-5523

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2269800
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2269800
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2269800
MA
363LP2300X
Primary Care Nurse Practitioner
RN2269800
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110149360A
MA
Enumeration date
10/20/2018
Last updated
02/07/2020
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