Thomas, Jacqueline D

Thomas, Jacqueline D is an individual health care provider with primary practice located at 3381 Phillis Blvd , Myrtle Beach SC 29577-1560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Thomas, Jacqueline D can be contacted via phone (843) 477-0177.

Contact Information

Primary practice address
3381 Phillis Blvd Myrtle Beach SC 29577-1560
Phone: (843) 477-0177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP1058812 Florida

Profile Details

NPI number 1952657843
LBN Legal business name Thomas, Jacqueline D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2012
Last updated Jan 10th, 2018 - about 8 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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