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
Fax: (219) 395-8770
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255099263 NPPES
Illinois Other 041401225 RPN LICENSE

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