Thomas, Connie

Thomas, Connie is an individual health care provider with primary practice located at 2005 W Elm St , Rogers AR 72758-4018. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Thomas, Connie can be contacted via phone (479) 427-7722.

Contact Information

Primary practice address
2005 W Elm St Rogers AR 72758-4018
Phone: (479) 427-7722
Fax: (479) 427-7721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2023000802 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 218965 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2023000802 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 218965 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2023000802 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 218965 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 218965 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2023000802 Missouri

Profile Details

NPI number 1699499384
LBN Legal business name Thomas, Connie
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2022
Last updated May 22nd, 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 1699499384 NPPES
Missouri MEDICAID 420119243
Missouri MEDICAID 294786758

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