Thomas, Elizabeth Reagan

Thomas, Elizabeth Reagan is an individual health care provider with primary practice located at 3 Shircliff Way Ste 200 , Jacksonville FL 32204-4785. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Thomas, Elizabeth Reagan can be contacted via phone (904) 384-3699.

Contact Information

Primary practice address
3 Shircliff Way Ste 200 Jacksonville FL 32204-4785
Phone: (904) 384-3699
Fax: (904) 384-8529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP9285961 Florida
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X ARNP9285961 Florida

Profile Details

NPI number 1780828111
LBN Legal business name Thomas, Elizabeth Reagan
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2009
Last updated Jan 15th, 2024 - about 11 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780828111 NPPES
Florida MEDICAID 000838800

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