Individual
ELIZABETH REAGAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3 SHIRCLIFF WAY STE 200, JACKSONVILLE, FL 32204-4785
(904) 384-3699
(904) 384-8529
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0333
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP9285961
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP9285961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000838800
—
FL
Enumeration date
04/29/2009
Last updated
01/15/2024
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