Individual
JORDAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7845 LITTLE AVE, CHARLOTTE, NC 28226-8198
(704) 375-0100
Mailing address
7845 LITTLE AVE, CHARLOTTE, NC 28226-8198
(704) 375-0100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
202837
NC
363LF0000X
Family Nurse Practitioner
Primary
202837
NC
Other
Enumeration date
07/05/2016
Last updated
12/18/2018
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