Individual
JENSEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 PINELLAS ST, CLEARWATER, FL 33756-3804
(727) 462-7000
Mailing address
1745 13TH AVE S, SAINT PETERSBURG, FL 33712-2413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9117602
FL
Other
Enumeration date
05/22/2023
Last updated
07/12/2023
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