# TRACI THOMPSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1922755222
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 1072751 | TX | Yes |
| 363LF0000X | Family Nurse Practitioner | 845457 | TX | — |

## Other

- **Enumeration date:** 03/07/2022
- **Last updated:** 03/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2C3564 | TEXAS MEDICARE | TX |