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Individual

IVEY DENICE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
210 E TRADE ST, CHARLOTTE, NC 28202-2404
(704) 971-1254
Mailing address
210 E TRADE ST, CHARLOTTE, NC 28202-2404

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0035695
OH
363LF0000X
Family Nurse Practitioner
29753
SC
363LF0000X
Family Nurse Practitioner
3019096
KY
363LF0000X
Family Nurse Practitioner
Primary
5009602
NC
363LF0000X
Family Nurse Practitioner
71013866A
IN
363LF0000X
Family Nurse Practitioner
APRN11046026
FL

Other

Enumeration date
06/27/2017
Last updated
04/15/2026
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