Individual
JESSICA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(415) 206-6581
Mailing address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
601891
NY
163W00000X
Registered Nurse
744916
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
19596
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19596
NP LICENSE
CA
Enumeration date
11/19/2009
Last updated
02/11/2022
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