Individual
JENNIFER LYNN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1701 DUNLAP AVE, APT 203, MARINETTE, WI 54143-1724
(715) 923-1402
Mailing address
1701 DUNLAP AVE, APT 203, MARINETTE, WI 54143-1724
(715) 923-1402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
198962-30
WI
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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