Individual
JENNIFER MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
407 RUBIN DR, PINEVILLE, LA 71360-5734
(337) 541-9346
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30000059
LA
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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