Individual
MS. SHELLYANN DENISE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
25 WESTFORD AVE, SPRINGFIELD, MA 01109-3240
(413) 519-1416
Mailing address
25 WESTFORD AVE, SPRINGFIELD, MA 01109-3240
(413) 519-1416
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN92660
MA
Other
Enumeration date
04/14/2025
Last updated
07/13/2025
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