person
Jacqulyn Rena Thomas
Urology Registered Nurse in Fort Wayne, Indiana
NPI 1316648355

Jacqulyn Rena Thomas is a Urology Registered Nurse based in Fort Wayne, IN and is specialized in Urology. Jacqulyn Rena Thomas practices in Fort Wayne, IN. The NPI Number for Jacqulyn Rena Thomas is 1316648355 and holds a License No. 28149682A (Indiana).

The current practice location address for Jacqulyn Rena Thomas is 2121 Lake Ave, Fort Wayne, IN and can be reached out via phone at 260-426-5431 and via fax at 260-460-1385.

Location: 2121 Lake Ave, Fort Wayne, IN, 46805-5100
person
Provider Profile Details
NPI Number
1316648355
Provider Name
Jacqulyn Rena Thomas
Credential
Provider Entity Type
Individual
Gender
Female
Address
2121 Lake Ave, Fort Wayne, IN, 46805-5100
Phone Number
260-426-5431
Fax Number
260-460-1385
Provider Enumeration Date
03/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2121 Lake Ave
City
State
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
260-460-1385
person
Provider Business Mailing Address Details
Address
2121 Lake Ave
City
State
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
260-460-1385
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Urology
Taxonomy
License No.
28149682A (Indiana)
Definition
Definition to come...
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