Individual
TERRY L THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN NP-C
Contact information
Practice address
3200 CHANNING WAY STE A205, IDAHO FALLS, ID 83404-7586
(208) 535-4580
(208) 535-4520
Mailing address
PO BOX 277381, ATLANTA, GA 30384-7381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1070A
ID
Other
Enumeration date
06/15/2011
Last updated
12/20/2019
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