Thomas, Connie
Thomas, Connie is an individual health care provider with primary practice located at 2005 W Elm St , Rogers AR 72758-4018. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Thomas, Connie can be contacted via phone (479) 427-7722.Contact Information
Primary practice address
2005 W Elm St
Rogers AR 72758-4018
Phone: (479) 427-7722
Fax: (479) 427-7721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2023000802 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 218965 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 2023000802 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 218965 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 2023000802 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 218965 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 218965 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 2023000802 | Missouri |
Profile Details
| NPI number | 1699499384 |
|---|---|
| LBN Legal business name | Thomas, Connie |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2022 |
| Last updated | May 22nd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699499384 | NPPES |
| Missouri | MEDICAID | 420119243 | |
| Missouri | MEDICAID | 294786758 |
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