Individual
NICOLE LYNISE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(877) 558-6248
Mailing address
28780 SINGLE OAK DR, STE 160, TEMECULA, CA 92590-5528
(951) 676-4193
(951) 216-2489
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
95009905
CA
Other
Enumeration date
09/21/2018
Last updated
05/11/2020
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