Provider Demographics
NPI:1134803372
Name:THOMASON, JENNIFER MARIE (TRADITIONAL MIDWIFE)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARIE
Last Name:THOMASON
Suffix:
Gender:F
Credentials:TRADITIONAL MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 E HAMMOND ST
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:IA
Mailing Address - Zip Code:51566-1952
Mailing Address - Country:US
Mailing Address - Phone:402-599-0106
Mailing Address - Fax:
Practice Address - Street 1:507 E HAMMOND ST
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:IA
Practice Address - Zip Code:51566-1952
Practice Address - Country:US
Practice Address - Phone:402-599-0106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay