Thomas, Nicole

Thomas, Nicole is an individual health care provider with primary practice located at 1437 E College Ave , Normal IL 61761-2085. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thomas, Nicole can be contacted via phone (309) 862-5700.

Contact Information

Primary practice address
1437 E College Ave Normal IL 61761-2085
Phone: (309) 862-5700
Fax: (309) 862-5705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209012492 Illinois

Profile Details

NPI number 1770974800
LBN Legal business name Thomas, Nicole
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2015
Last updated Mar 5th, 2024 - about 8 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 1770974800 NPPES
Illinois Other 2014026661 ANCC CERTIFICATION

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