Individual
MARIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN/BAT/CPC/PRSS
Contact information
Practice address
155 NINTH ST STE C, JENA, LA 71342-3900
(318) 992-9238
(318) 992-9162
Mailing address
PO BOX 2512, JENA, LA 71342-2512
(318) 992-9238
(318) 992-9162
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20192470
LA
164W00000X
Licensed Practical Nurse
L0059076
OK
172V00000X
Community Health Worker
—
—
247000000X
Health Information Technician
—
—
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20192470
LOUISIANA BOARD OF NURSING
LA
01
—
59076
OKLAHOMA NURSING LICENSE
OK
Enumeration date
04/20/2015
Last updated
07/30/2019
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