Individual
JERI SUE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4914 POTOMAC HIGHLANDS TRL, GREEN BANK, WV 24944-8507
(681) 206-0668
(740) 619-7029
Mailing address
PO BOX 134, GREEN BANK, WV 24944-0134
(681) 206-0668
(740) 619-7029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
43108
WV
363LF0000X
Family Nurse Practitioner
11090
OH
363LF0000X
Family Nurse Practitioner
APRN-100415
MT
Other
Enumeration date
10/19/2009
Last updated
06/01/2026
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