Thomas, Wendy B
Thomas, Wendy B is an individual health care provider with primary practice located at 131 Tucker Street Suite 5 - Professional Anesthesia Associates, Jackson TN 38301-4055. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Thomas, Wendy B can be contacted via phone (731) 541-5000.Contact Information
Primary practice address
131 Tucker Street Suite 5 - Professional Anesthesia Associates
Jackson TN 38301-4055
Phone: (731) 541-5000
Fax: (731) 541-7075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN96821 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APN10965 | Tennessee |
Profile Details
| NPI number | 1962498626 |
|---|---|
| LBN Legal business name | Thomas, Wendy B |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Sep 19th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962498626 | NPPES |
| Tennessee | MEDICAID | 3624940 |
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