Provider Demographics
NPI:1790909257
Name:THOMAS, JESSICA C E WILSON (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:C E WILSON
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:326 E KELSO RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-2306
Mailing Address - Country:US
Mailing Address - Phone:614-607-5189
Mailing Address - Fax:
Practice Address - Street 1:1800 MEDICAL CENTER PKWY
Practice Address - Street 2:SUITE 410
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2567
Practice Address - Country:US
Practice Address - Phone:615-396-6800
Practice Address - Fax:615-396-6802
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD00000474782084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology