Individual
KEISHA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
680 BLAIR MILL RD, HORSHAM, PA 19044-2223
(610) 256-9742
Mailing address
329 AUTUMN LN, EAST STROUDSBURG, PA 18301-9828
(203) 623-2340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP014248
PA
363LF0000X
Family Nurse Practitioner
Primary
SP014248
PA
Other
Enumeration date
02/04/2015
Last updated
11/05/2024
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