Individual
JAMIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9206 HILLSIDE AVE, SHREVEPORT, LA 71118-3414
(318) 344-2649
Mailing address
9206 HILLSIDE AVE, SHREVEPORT, LA 71118-3414
(318) 344-2649
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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