Thomason, Jennifer
Thomason, Jennifer is an individual health care provider with primary practice located at 770 Indian Boundary Rd Ste 200 , Chesterton IN 46304-1519. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Thomason, Jennifer can be contacted via phone (219) 921-2059.Contact Information
Primary practice address
770 Indian Boundary Rd Ste 200
Chesterton IN 46304-1519
Phone: (219) 921-2059
Fax: (219) 395-8770
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 041401225 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209024505 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71013308A | Indiana |
Profile Details
NPI number | 1255099263 |
---|---|
LBN Legal business name | Thomason, Jennifer |
Credentials | NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 7th, 2021 |
Last updated | Sep 13th, 2023 - about 2 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 | 1255099263 | NPPES |
Illinois | Other | 041401225 | RPN LICENSE |
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