Individual
EBONY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1306 N CENTER ST, LONOKE, AR 72086-2011
(501) 676-6560
(501) 676-7166
Mailing address
30 BURTON HILLS BLVD, STE 175, NASHVILLE, TN 37215-6140
(615) 988-2014
(615) 523-0647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004715
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015022062
ANCC CERTIFICATION
—
Enumeration date
06/30/2016
Last updated
06/30/2016
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