Jean Thom is a Family in Grand Rapids, Minnesota. Jean Thom practices all healthcare services and medical treatments related to Family. The NPI Number for Jean Thom is 1598743494. The last update date is 2013-02-21.
Jean Thom's current location address is 1601 Golf Course Rd, Grand Rapids, Minnesota. You can contact this provider via phone number 2183265000. The mailing address for Jean Thom is 1601 Golf Course Rd, Grand Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jean Thom |
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Address | 1601 Golf Course Rd, Grand Rapids, Minnesota |
Phone Number | 2183265000 |
Fax Number | |
Sole Proprietor | N |
Credentials | NP |
NPI Number Detail
NPI Number | 1598743494 |
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Provider Enumeration Date | 2006-01-03 |
Last Updated Date | 2013-02-21 |
Provider Mailing Address Detail
Address | 1601 Golf Course Rd |
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City | Grand Rapids |
State | Minnesota (MN) |
Post Code | 557448648 |
Phone Number | 2183265000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 169566-22 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
913542100 | MN | -- |
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What is the unique 10-digit identifier code assigned to Jean Thom by the Centers for Medicare & Medicaid Services?
The Jean Thom has been issued the NPI (National Provider Identifier) 1598743494 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jean Thom located?
The Jean Thom is located at 1601 Golf Course Rd, Grand Rapids, MN 557448648.
What is Jean Thom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jean Thom is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598743494 to Jean Thom?
The Centers for Medicare & Medicaid Services originally issued the 1598743494 to Jean Thom on 2006-01-03.
When was the information regarding Jean Thom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jean Thom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-02-21.
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