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Individual

JASON THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RNFA

Contact information

Practice address
1616 SOUTHRIDGE DR, STE 202, JEFFERSON CITY, MO 65109-5677
(573) 635-0401
(573) 635-6715
Mailing address
1616 SOUTHRIDGE DR, STE 202, JEFFERSON CITY, MO 65109-5677
(573) 635-0401
(573) 635-6715

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
2004003193
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
062603
CNOR CERTIFICATE FOR PROFESSIONAL ACHIEVEMENT IN PERIOPERATIVE NURSING PRACTICE
MO
01
CEP11471
NIFA RN FIRST ASSISTANT PROGRAM COMPLETION CERTIFICATE
MO
Enumeration date
06/24/2008
Last updated
12/09/2010
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