Fennell-Thomas, Jessica Alexandra

Fennell-Thomas, Jessica Alexandra is an sole proprietor health care provider with primary practice located at 1148 E Gibson St Bldg B , Arcadia FL 34266-5011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fennell-Thomas, Jessica Alexandra can be contacted via phone (863) 494-6222.

Contact Information

Primary practice address
1148 E Gibson St Bldg B Arcadia FL 34266-5011
Phone: (863) 494-6222
Fax: (863) 494-3227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9294156 Florida

Profile Details

NPI number 1730623851
LBN Legal business name Fennell-Thomas, Jessica Alexandra
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2016
Last updated Feb 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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