Provider Demographics
NPI:1801155122
Name:THOMAS, ESMERALDA P (FNP)
Entity type:Individual
Prefix:
First Name:ESMERALDA
Middle Name:P
Last Name:THOMAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ESMERALDA
Other - Middle Name:PILGRAM
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:3820 MURFREESBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2216
Mailing Address - Country:US
Mailing Address - Phone:615-259-8755
Mailing Address - Fax:615-641-9017
Practice Address - Street 1:2410 FRANKLIN PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-2227
Practice Address - Country:US
Practice Address - Phone:615-983-8247
Practice Address - Fax:615-385-1842
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16403363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily