Individual
MISS MELISSA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, MSN, APN-C,CRNP
Contact information
Practice address
151 FRIES MILL RD, SUITE 301, BLACKWOOD, NJ 08012-2016
(856) 374-1881
Mailing address
333 LAUREL OAK RD, VOORHEES, NJ 08043-4453
(856) 344-7360
(856) 783-1403
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00365600
NJ
363LA2200X
Adult Health Nurse Practitioner
SP011786
PA
Other
Enumeration date
06/07/2012
Last updated
09/08/2016
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