Thomas, Jennifa K

Thomas, Jennifa K is an individual health care provider with primary practice located at 3500 Franciscan Way Ste 300 , Michigan City IN 46360-0033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Thomas, Jennifa K can be contacted via phone (219) 879-6531.

Contact Information

Primary practice address
3500 Franciscan Way Ste 300 Michigan City IN 46360-0033
Phone: (219) 879-6531
Fax: (219) 878-8331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28137882A Indiana

Profile Details

NPI number 1114282167
LBN Legal business name Thomas, Jennifa K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2012
Last updated Jun 20th, 2024 - about 5 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 1114282167 NPPES
Indiana MEDICAID 201090650

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