Individual
JENNA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 W LAUREL AVE, PLENTYWOOD, MT 59254-1526
(406) 765-4700
Mailing address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(794) 443-4301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A134018
IA
363LP2300X
Primary Care Nurse Practitioner
121966
AR
Other
Enumeration date
02/06/2017
Last updated
09/20/2023
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