| Doctor Name: | JENNIFER L THOMAS |
| NPI Number: | 1033394655 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 0050-03883 |
| Business Practice Address: | 16455 Statesville Rd Suite 360 Huntersville, NC - 280787135 |
| Business Phone Number: | 7048013300 |
| Business Fax Number: | 7045480927 |
| Mailing Address: | Po Box 602478, CHARLOTTE |
| State: | NC |
| Postal Code: | 282602478 |
| Phone Number: | 7048013300 |
| Fax Number: | 7045480927 |
| NPI Enumeration Date: | 01/02/2008 |
| NPI Last Update Date: | 06/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 0050-03883 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |