Individual
JENY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 LAKELAND HILLS BLVD STE 4, LAKELAND, FL 33805-3257
(863) 937-7157
(863) 333-0260
Mailing address
27 THE VILLAGE BLVD, WINTER HAVEN, FL 33880-1645
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
07/01/2026
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