Individual
MRS. JODIE MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2413 RING RD STE 100, ELIZABETHTOWN, KY 42701-5924
(270) 737-0077
(270) 982-2237
Mailing address
2413 RING RD STE 100, ELIZABETHTOWN, KY 42701-5924
(270) 737-0077
(270) 982-2237
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F01190927
KY
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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