Individual
JESSICA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
80600 STATE RD # 258, TIPPECANOE, OH 44699-9753
(330) 340-0829
Mailing address
80600 STATE RD # 258, TIPPECANOE, OH 44699-9753
(330) 340-0829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN363689
OH
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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