Jacqulyn Rena Thomas
Jacqulyn Rena Thomas is an Urology Registered Nurse in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2023.
- Licensed in
- IN
- In the registry since
- 2023
Practice location Address checks out
2121 Lake AveFort Wayne, IN 46805-5100
Phone: (260) 426-5431
Fax: (260) 460-1385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Registered Nurse (primary) | Taxonomy 163WU0100X · Licence 28149682A (IN) |
|---|
Record details
| NPI number | 1316648355 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 16, 2023 |
| Last updated in NPPES | March 16, 2023 |
| Certification date | March 16, 2023 |
| Mailing address | 2121 Lake Ave, Fort Wayne, IN 46805-5100 |
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Jenna Rae Smith
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