Individual
JESSICA THOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4265 MERIDIAN ST, BELLINGHAM, WA 98226-6492
(360) 200-1650
(360) 200-1652
Mailing address
4265 MERIDIAN ST STE 104, BELLINGHAM, WA 98226-6492
(360) 200-1650
(360) 200-1652
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
APRN11004163
FL
225C00000X
Rehabilitation Counselor
AP61024014
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61024014
WA
363LF0000X
Family Nurse Practitioner
APRN11004163
FL
Other
Enumeration date
09/18/2019
Last updated
10/07/2022
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