Individual
DR. CARLEEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 MILLER DR, CLARKSDALE, MS 38614-3427
(662) 627-8694
Mailing address
1402 MILLER DR, CLARKSDALE, MS 38614-3427
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R785462
MS
Other
Enumeration date
12/15/2016
Last updated
06/14/2023
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