Thomas, Jessy
Thomas, Jessy is an sole proprietor health care provider with primary practice located at 636 Raymond Dr , Naperville IL 60563-9789. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Thomas, Jessy can be contacted via phone (630) 933-6091.Contact Information
Primary practice address
636 Raymond Dr
Naperville IL 60563-9789
Phone: (630) 933-6091
Fax: (630) 933-2995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 334729 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 209008189 | Illinois |
Profile Details
| NPI number | 1538323456 |
|---|---|
| LBN Legal business name | Thomas, Jessy |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2008 |
| Last updated | Apr 10th, 2014 - about 10 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 | 1538323456 | NPPES |
| Illinois | MEDICAID | 041380904 | |
| Illinois | Other | 920540 |
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