Individual
MS. JACQUE ANNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
529 HILLSIDE DR, HAZLE TOWNSHIP, PA 18202-2858
(570) 454-3052
(570) 453-3176
Mailing address
529 HILLSIDE DR, HAZLE TOWNSHIP, PA 18202-2858
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95006858
CA
363LF0000X
Family Nurse Practitioner
SP013099
PA
Other
Enumeration date
12/26/2013
Last updated
02/03/2020
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