Individual
JENY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1009 US 27 S, AVON PARK, FL 33825-5107
(863) 314-9401
Mailing address
2255 GLADES RD STE 228W, BOCA RATON, FL 33431-7391
(561) 320-0996
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11000766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11000766
—
FL
Enumeration date
04/01/2019
Last updated
08/06/2025
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