Individual
TEENA ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3294
(678) 312-3282
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3294
(678) 312-3282
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP9401763
FL
363LA2200X
Adult Health Nurse Practitioner
SP015322
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN321714
GA
Other
Enumeration date
12/02/2016
Last updated
08/13/2023
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