MRS. JESSICA BLAIR THOMAS (NPI# 1073977856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073977856 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA BLAIR THOMAS |
| Credential | NP-C |
| Practice Address |
1506 Wayne Memorial Dr Ste D Goldsboro NC 27534-2202 |
| Mailing Address |
Po Box 250 Beaver PA 15009-0250 |
| Practice Telephone | 9197360767 |
| Practice Fax Number | 9195800148 |
| Mailing Telephone | 9199476214 |
| Mailing Fax Number | 8667270896 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
252077 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555863 | Jessica Gage Thomas | Student in an Organized Health Care Education/Training Program | 100 Stratford Lakes Dr Unit 221, Durham, NC 27713-3479 | 2020-10-16 |
| 1669079604 | Jessica Yvonne Thomas | Military Health Care Provider | 64 Verdant Oak Aly, Clarksburg, MD 20871-3504 | 2020-10-02 |
| 1083171540 | Jessica Ann Thomas | Registered Nurse | 274 Hooker Ave Apt D1, Poughkeepsie, NY 12603-3025 | 2019-02-20 |
| 1215402722 | Jessica Myers Thomas | Lactation Consultant, Non-RN | 679 Sarecta Rd, Kenansville, NC 28349-8657 | 2018-10-11 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1790208759 | Jessica Brooke Thomas | Lactation Consultant, Non-RN | 887 Holley Ct, Folsom, CA 95630-3518 | 2017-07-21 |
| 1346699923 | Jessica Thomas | Counselor | 1109 Cook Trl, Brantley, AL 36009-4130 | 2016-06-06 |
| 1629424353 | Jessica Lorita Thomas | Counselor | 20 W Bank St Ste 6, Petersburg, VA 23803-3279 | 2016-05-12 |
| 1477918043 | Jessica Denise Thomas | Counselor | 1138 Pecan Blvd, Jackson, MS 39209-7146 | 2015-12-23 |
| 1912382656 | Jessica Thomas | Registered Nurse | 80600 State Rd # 258, Tippecanoe, OH 44699-9753 | 2015-07-23 |
| Street Address |
1506 WAYNE MEMORIAL DR STE D |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114383528 | Katlyn E Rhodes | Physician Assistant | 1506 Wayne Memorial Dr Ste D, Goldsboro, NC 27534-2202 | 2016-01-14 |
| 1265986715 | Deanna Schantzen | Physician Assistant | 1506 Wayne Memorial Dr Ste D, Goldsboro, NC 27534-2202 | 2016-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902345424 | Jennifer Hood Waters | Nurse Practitioner | 665 Charlie Braswell Rd, Goldsboro, NC 27530-9476 | 2017-02-16 |
| 1336507631 | Kelli Corbett | Nurse Practitioner | 300 Ew Ln, Goldsboro, NC 27534-9127 | 2016-02-02 |
| 1396147559 | Marisa M Montgomery | Nurse Practitioner | 1704a Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2014-09-19 |
| 1396170593 | Lesley Nunn | Nurse Practitioner | 204 Malloy St, Goldsboro, NC 27534-4477 | 2013-09-06 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1033278163 | Jentry Ellon Naylor | Nurse Practitioner | 2809 Mclamb Pl, Goldsboro, NC 27534-1647 | 2006-12-06 |
| 1053324616 | Brenda Julian | Nurse Practitioner | 1410 E. Ash Ave, Family Works Psychological Center, Goldsboro, NC 27530 | 2006-08-14 |
| 1376144121 | Heather Hardy Hill | Nurse Practitioner | 2402 Wayne Memorial Dr, Goldsboro, NC 27534-1728 | 2020-11-06 |
| 1124632146 | Brandon Grant Godwin | Nurse Practitioner | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2020-09-08 |
| 1114540036 | Carolyn Danielle Battle | Nurse Practitioner | 2701 Medical Office Pl, Goldsboro, NC 27534-9458 | 2020-05-27 |
| Find all providers in GOLDSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.