Individual
MRS. TAMMY L THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1436 COUNTY ROAD 1, HICKORY FLAT, MS 38633-9500
(662) 988-3865
Mailing address
1436 COUNTY ROAD 1, HICKORY FLAT, MS 38633-9500
(662) 988-3865
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P303875
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770233
—
MS
Enumeration date
05/19/2007
Last updated
07/09/2007
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