Individual
MRS. JESSICA RYAN MURRELL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
654 NW RIDGEWOOD AVE, LAKE CITY, FL 32055-3169
(386) 288-0252
Mailing address
654 NW RIDGEWOOD AVE, LAKE CITY, FL 32055-3169
(386) 288-0252
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5208251
FL
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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