Individual
MS. AUTUMN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE ASSI
Contact information
Practice address
401 N HIGHLAND ST APT 105, GASTONIA, NC 28052-2198
(704) 923-5099
Mailing address
401 N HIGHLAND ST APT 105, GASTONIA, NC 28052-2198
(704) 923-5099
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
Primary
544849
NC
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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