Individual
JEREMY KEITH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1709 S 16TH ST STE A, WILMINGTON, NC 28401-6491
(910) 452-8633
(910) 452-8589
Mailing address
PO BOX 15109, WILMINGTON, NC 28408-5109
(910) 392-2525
(910) 392-2827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5009048
NC
Other
Enumeration date
10/31/2016
Last updated
01/16/2025
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