MARY THOMAS
NPI 1639006257
Licensed Practical Nurse in Jacksonville, FL
- Individual
- Female
- Licensed Practical Nurse
About MARY THOMAS
This page provides the complete NPI Profile along with additional information for Mary Thomas, a provider established in Jacksonville, Florida with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1639006257 assigned on May 2026. The practitioner's primary taxonomy code is 164W00000X with license number PN5206884 (FL). The provider is registered as an individual and her NPI record was last updated May 2026.
- NPI
- 1639006257 Verify this NPI
- Provider Name
- MARY THOMAS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1297 DUNNS LAKE DR JACKSONVILLE, FL 32218
- Location Phone
- (904) 430-2076
- Mailing Address
- 1297 DUNNS LAKE DR JACKSONVILLE, FL 32218
- Mailing Phone
- (904) 430-2076
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-07-2026
- Last Update Date
- 05-07-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- PN5206884
- License State
- FL
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639006257, enumerated as an "individual" on May 07, 2026.
The provider is located at 1297 DUNNS LAKE DR JACKSONVILLE, FL 32218 and the phone number is (904) 430-2076.
Licensed Practical Nurse with taxonomy code 164W00000X.
