Individual
ALICIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2104 EISENHOWER AVE, VALPARAISO, IN 46383-3222
(219) 840-0253
Mailing address
2104 EISENHOWER AVE, VALPARAISO, IN 46383-3222
(219) 840-0253
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71017379A
IN
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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