Thomas, Ellen Nadine

Thomas, Ellen Nadine is an individual health care provider with primary practice located at 6879 Southpoint Dr N , Jacksonville FL 32216-6179. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Thomas, Ellen Nadine can be contacted via phone (904) 296-2441.

Contact Information

Primary practice address
6879 Southpoint Dr N Jacksonville FL 32216-6179
Phone: (904) 296-2441
Fax: (904) 821-3113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1763212 Florida

Profile Details

NPI number 1487645578
LBN Legal business name Thomas, Ellen Nadine
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2005
Last updated Oct 17th, 2011 - about 15 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 1487645578 NPPES
Florida MEDICAID 305499300
Florida Other Y8429
Florida Other 500011594

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