Individual
MRS. JACKIE M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
540 MCCALLIE AVE, SUITE 450, CHATTANOOGA, TN 37402-2089
(423) 634-3124
Mailing address
540 MCCALLIE AVE, SUITE 450, CHATTANOOGA, TN 37402-2089
(423) 634-3124
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000060518
TN
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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