MRS. MELISSA S THOMAS APRN NPI 1104124064

NPI Information

  • NPI: 1104124064
  • Provider Name: MRS. MELISSA S THOMAS, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2 SHIRCLIFF WAY STE 435
    JACKSONVILLE, FL
    ZIP 32204
  • Phone: (904) 308-6900

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NPI Details

MRS. Melissa S Thomas, APRN is a family nurse practitioner in Jacksonville, FL with 16 years of experience. MRS. Melissa S Thomas, APRN NPI is 1104124064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2010

The provider's business location address is:

2 SHIRCLIFF WAY STE 435
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 308-6900
Fax: (904) 308-6927

The NPI 1104124064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/2/2011 and was last updated on 12/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerAPRN3394912FLORIDANo
2363LF0000XNurse PractitionerFamilyARNP3394912FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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