| NPI | 1629236708 |
|---|---|
| Former Name | JENNIFER ANDERSON THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000013415) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |