Individual
DOROTHY IRICK THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
200 CHERRY ST, TROY, AL 36081-2044
(334) 566-3391
Mailing address
5906 CARMICHAEL PL, MONTGOMERY, AL 36117-2345
(334) 409-9090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1-144018
AK
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
1-144018
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-144018
AL
Other
Enumeration date
02/04/2022
Last updated
05/01/2026
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