Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | NP-11354 | OH |
NPI | 1144522475 |
---|---|
Provider Name | Mrs. Jennifer Lee Thomas |
First Address | Cincinnati, OH 45239-7104 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2010 |
Last Update Date | 07/01/2015 |