Individual
JENIFER DOLORES THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
28080 GRAND RIVER AVE STE 306N, FARMINGTON HILLS, MI 48336-5966
(947) 521-4771
(248) 473-4772
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1862
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704293093
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704293093
MI
Other
Enumeration date
07/06/2018
Last updated
11/17/2020
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