Individual
TERRI D THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1532 LONE OAK RD, SUITE 310, PADUCAH, KY 42003-7913
(270) 443-0777
(270) 443-0999
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-0001
(513) 981-5098
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3006242
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100100530
—
KY
01
—
P000947886
RAILROAD MEDICARE
KY
Enumeration date
11/05/2009
Last updated
02/20/2019
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