Provider Demographics
NPI:1942877741
Name:THOMAS, ADRIENNE NICHOLE (RN)
Entity Type:Individual
Prefix:MS
First Name:ADRIENNE
Middle Name:NICHOLE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 GREEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-4316
Mailing Address - Country:US
Mailing Address - Phone:812-941-9893
Mailing Address - Fax:812-941-9896
Practice Address - Street 1:2911 GREEN VALLEY RD
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4316
Practice Address - Country:US
Practice Address - Phone:812-941-9893
Practice Address - Fax:812-941-9896
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28265815A163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice