Thorn, Abigail Grace

Thorn, Abigail Grace is an individual health care provider with primary practice located at 1401 Oven Park Drive Suite 201, Tallahassee FL 32308. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Thorn, Abigail Grace can be contacted via phone (850) 765-8623.

Contact Information

Primary practice address
1401 Oven Park Drive Suite 201 Tallahassee FL 32308
Phone: (850) 765-8623
Fax: (850) 765-0118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X ARNP2749192 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2749192 Florida

Profile Details

NPI number 1275558744
LBN Legal business name Thorn, Abigail Grace
Credentials ARNP CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jun 28th, 2016 - about 9 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 1275558744 NPPES
Florida MEDICAID 304656700

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