Individual provider · Type 1 NPI
Thomas George Jr., DNP, CRNP, FNP-C
Family Nurse Practitioner · Shelley, ID
NPI number
1417338930
Active
Practice location
555 W Oak St Ste 2
Shelley, ID 83274-1161
Other practice locations
- 2034 La Rain Ct, Idaho Falls, ID 83402-4853 · (240) 308-1771
- 106 Cemetery Rd, Accident, MD 21520-2097 · (301) 746-8627
- 311 N 4th St Ste 1, Oakland, MD 21550-1371 · (301) 334-7855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse | 163WC0400X | R216085 (MD) |
| Family Nurse Practitioner Primary | 363LF0000X | R216085 (MD) |
Family Nurse Practitioner: Definition to come...
About NPI 1417338930
Thomas George Jr., DNP, CRNP, FNP-C's National Provider Identifier is 1417338930, issued on Jun 10, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shelley, ID. The record was last updated on Jun 12, 2024.