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Individual

ALLYSON THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
401 E LANTRIP ST, KILGORE, TX 75662-5956
(903) 983-0081
(903) 983-0082
Mailing address
1261 COUNTY ROAD 174 E, OVERTON, TX 75684-9579
(903) 720-0609

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP126502
TX
363LF0000X
Family Nurse Practitioner
126502
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340888201
TX
01
75-2616977-017
TRICARE
TX
01
8221NL
BCBS
TX
Enumeration date
09/30/2014
Last updated
03/27/2023
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