Individual
MRS. IVY ELIZABETH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
800 N DUPONT BLVD, MILFORD, DE 19963-1019
(302) 430-5705
(302) 430-5679
Mailing address
800 N DUPONT BLVD, MILFORD, DE 19963-1019
(302) 450-3481
(302) 430-5679
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG-0012661
DE
363LF0000X
Family Nurse Practitioner
104266
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164079828
—
WV
05
—
250775533
—
DE
Enumeration date
08/19/2019
Last updated
05/14/2025
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