Thomas, Jessy

Thomas, Jessy is an sole proprietor health care provider with primary practice located at 636 Raymond Dr , Naperville IL 60563-9789. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Thomas, Jessy can be contacted via phone (630) 933-6091.

Contact Information

Primary practice address
636 Raymond Dr Naperville IL 60563-9789
Phone: (630) 933-6091
Fax: (630) 933-2995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 334729 New York
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209008189 Illinois

Profile Details

NPI number 1538323456
LBN Legal business name Thomas, Jessy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2008
Last updated Apr 10th, 2014 - about 12 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 1538323456 NPPES
Illinois MEDICAID 041380904
Illinois Other 920540

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