Individual
JAISON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1218 E 9TH ST STE 1, EDMOND, OK 73034-5796
(405) 896-6777
(405) 212-4057
Mailing address
1218 E 9TH ST STE 1, EDMOND, OK 73034-5796
(405) 896-6777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F01191802
OK
Other
Enumeration date
03/08/2019
Last updated
01/01/2020
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