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:

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Health care specialties

Specialty	Code	License #	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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