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Individual

DR. NANCY JACKSON THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
13000 SAWGRASS VILLAGE CIR STE 11, PONTE VEDRA, FL 32082-3078
(904) 280-8555
(904) 280-8562
Mailing address
4650 SWILCAN BRIDGE LN S, JACKSONVILLE, FL 32224-5620
(904) 280-8555
(904) 280-8562

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0003951
FL

Other

Enumeration date
10/31/2006
Last updated
08/08/2007
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