JESSYKA THOMAS NPI 1679948418

NPI Information

NPI: 1679948418
Provider Name: JESSYKA THOMAS
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
3176 CANTON ST
DETROIT, MI
ZIP 48207
Phone: (313) 633-3082
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Jessyka Thomas is a student in an organized health care education training program in Detroit, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jessyka Thomas NPI is 1679948418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3176 CANTON ST
DETROIT, MI
ZIP 48207-542
Phone: (313) 633-3082

The enumeration date for this NPI number is 12/4/2015 and was last updated on 12/4/2015.

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
1	390200000X	Student in an Organized Health Care Education/Training Program		T520403734328	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	750577870	MEDICAID	MICHIGAN

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: 11/14/2023

NPI Synchronization or Removal

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