Jalisa Brianna Thomas, LPN is a
Licensed Practical Nurse based in Montrose, Georgia. Jalisa Brianna Thomas is licensed to practice in Georgia (license number LPN094885) and her current practice location is
872 Fletcher Stanley Rd, Montrose, Georgia. She can be reached at her office (for appointments etc.) via phone at
(478) 290-7248.
NPI number for Jalisa Brianna Thomas is 1790283885 and her current mailing address is 872 Fletcher Stanley Rd, Montrose, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790283885.
Provider's Profile
Full Name | Jalisa Brianna Thomas |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 872 Fletcher Stanley Rd, Montrose, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790283885
- Provider Enumeration Date: 01/24/2018
- Last Update Date: 01/24/2018
Medical Identifiers
Medical identifiers for Jalisa Brianna Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790283885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LPN094885 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jalisa Brianna Thomas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jalisa Brianna Thomas, LPN 872 Fletcher Stanley Rd, Montrose, GA 31065-3310 Ph: (478) 290-7248 | Jalisa Brianna Thomas, LPN 872 Fletcher Stanley Rd, Montrose, GA 31065-3310 Ph: (478) 290-7248 |
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