Individual
SHANNON LEIGH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-0996
(804) 628-0384
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0001226832
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0001226832
VA
Other
Enumeration date
03/11/2018
Last updated
09/28/2021
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