Individual
MR. JOHN MYCHAL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, AGNP-C
Contact information
Practice address
3002 MOORES LN, TEXARKANA, TX 75503-2204
(430) 200-4350
(833) 491-2722
Mailing address
1411 TERRACE, MAGNOLIA, AR 71753-2040
(870) 833-1060
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
212494
AR
363LG0600X
Gerontology Nurse Practitioner
212494
AR
Other
Enumeration date
10/21/2020
Last updated
02/23/2022
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