Individual
LATONYA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3604 LIVE OAK ST STE 300, DALLAS, TX 75204-6114
(214) 826-4224
(214) 826-6442
Mailing address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1169908
TX
363LF0000X
Family Nurse Practitioner
1169908
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1169908
NURSES LICENSE-APN
TX
Enumeration date
07/19/2022
Last updated
08/29/2024
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