Thomas, Jessica Nicole

Thomas, Jessica Nicole is an individual health care provider with primary practice located at 4600 3Rd St , Moline IL 61265-6106. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Thomas, Jessica Nicole can be contacted via phone (309) 779-2031.

Contact Information

Primary practice address
4600 3Rd St Moline IL 61265-6106
Phone: (309) 779-2031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X Illinois

Profile Details

NPI number 1932848934
LBN Legal business name Thomas, Jessica Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2022
Last updated May 31st, 2022 - about 3 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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