NPI 1003800566

Mary Jean Thomas, FNP

Practitioner Family Nurse Practitioner Syracuse, NY

Practice location

Address: 736 Irving Ave, Syracuse, NY 13210-1687
Phone: (315) 470-7111
Mailing address: 4140 Tommys Trl, Liverpool, NY 13090-3737

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence F330382 (NY)

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Registry record

NPI: 1003800566
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Sep 2005
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.