Individual
JACQUELINE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8060 KNUE RD STE 110, INDIANAPOLIS, IN 46250-1938
(317) 842-7435
Mailing address
3281 ASHLEY LN, INDIANAPOLIS, IN 46224-2226
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
71-01-93-3229
IN
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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