Individual
DANIELLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
980 N MERIDIAN ST, PORTLAND, IN 47371-1129
(260) 703-3312
(260) 703-3313
Mailing address
PO BOX 306417, NASHVILLE, TN 37230-6417
(931) 253-1110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015351A
IN
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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