Individual provider · Type 1 NPI
Jacqulyn Rena Thomas
Urology Registered Nurse · Fort Wayne, IN
NPI number
1316648355
Active
Practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
Fax (260) 460-1385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urology Registered Nurse Primary | 163WU0100X | 28149682A (IN) |
Urology Registered Nurse: Definition to come...
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About NPI 1316648355
Jacqulyn Rena Thomas's National Provider Identifier is 1316648355, issued on Mar 16, 2023. The primary taxonomy on file is Urology Registered Nurse (163WU0100X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 16, 2023.