Individual
MRS. ELIZABETH K THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6029 WALNUT GROVE RD STE C002, MEMPHIS, TN 38120-2112
(901) 226-3190
(901) 226-3191
Mailing address
6799 GREAT OAKS RD STE 250, MEMPHIS, TN 38138-2584
(901) 685-3490
(901) 685-3499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14039
TN
364SF0001X
Family Health Clinical Nurse Specialist
0000014039
TN
364SF0001X
Family Health Clinical Nurse Specialist
14039
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521590
—
TN
Enumeration date
07/30/2009
Last updated
01/04/2019
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