Individual provider · Type 1 NPI

Jennifer Renee Thomas, FNP-C

Nurse Practitioner · Supply, NC

NPI number 1720545130 Active

Practice location

13 Medical Campus Dr NW Ste 102
Supply, NC 28462-4093

Fax (910) 754-5989

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 2041 Valleygate Dr, Fayetteville, NC 28304-3745 · (910) 323-5203

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X5011501 (NC)
Nurse Practitioner Primary 363L00000X5011501 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

5 other providers at this address

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About NPI 1720545130

Jennifer Renee Thomas, FNP-C's National Provider Identifier is 1720545130, issued on Feb 22, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Supply, NC. The record was last updated on Dec 28, 2022.