Nicole Thomas

Nurse Practitioner

Jacksonville, FL 32250

Female - 15 Yrs Experience - English

Location

1891 Beach Blvd
Suite 200

Jacksonville, FL 32250

Phone number

(904) 249-3743

Summary

Nicole Thomas is a Nurse Practitioner located at Jacksonville, FL 32250 and is affiliated with Ascension St Vincent's Riverside Hospitals. She received her medical degree from Other and has been in practice for more than 15 years.

Professional Identification

  1. NPI#: 1003065509
  2. PAC ID: 8527117415
  3. Clinician Enrollment ID: I20090526000271
  4. Gender: Female
  5. Enumeration: September 9 2008
  6. Last Updated: December 27 2012

Medical Credentials

  1. Credential: Undefined
  2. Medical school: Other
  3. Graduation year: 2007
  4. Taxonomy: 363L00000X
  5. Specialty: Nurse Practitioner
  6. All specialties: Nurse Practitioner

Medical Practice

  1. Organization: Cleveland W. Randolph Jr Md,pa
  2. Group PAC ID: 5496749004
  3. Number of Group Members: 6
  4. Medicare CCN: 100040
  5. Hospital affiliation: Ascension St Vincent's Riverside
  6. Medicare CCN: 100090
  7. Hospital affiliation: Flagler Hospital

Medicare Assignment

  1. Clinician accepts Medicare Assignment: Y
  2. Group accepts Medicare Assignment: Y

Locations

  1. 1891 Beach Blvd, Jacksonville FL 32250 (904) 249-3743

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