Thomas, Koshanna

Thomas, Koshanna is an individual health care provider with primary practice located at 5818 Blackthorn Rd , Jacksonville FL 32244-2010. She recently has 5 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Homemaker is her primary health care specialty. Thomas, Koshanna can be contacted via phone (904) 674-4260.

Contact Information

Primary practice address
5818 Blackthorn Rd Jacksonville FL 32244-2010
Phone: (904) 674-4260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Home Health Aide 374U00000X
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X
Nursing Service Related Providers / Homemaker 376J00000X Florida

Profile Details

NPI number 1619470994
LBN Legal business name Thomas, Koshanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2018
Last updated Mar 13th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619470994 NPPES
Florida MEDICAID 82-4457708

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