Individual
JODIE LANTZ THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, PCNS-BC
Contact information
Practice address
1935 MEDICAL DISTRICT DR, D3.01, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
1935 MEDICAL DISTRICT DR, D3.01, DALLAS, TX 75235-7701
(214) 456-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP126788
TX
364SP0200X
Pediatric Clinical Nurse Specialist
AP126788
TX
Other
Enumeration date
11/20/2014
Last updated
01/26/2026
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