Individual
JERRY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.P.
Contact information
Practice address
1000 TUCKERTON CT, READING, PA 19605-1177
(610) 988-4000
Mailing address
PO BOX 14623, READING, PA 19612-4623
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP003775B
PA
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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