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Individual

JENNIFER THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1427 VINE ST, 2ND FLOOR, PHILADELPHIA, PA 19102-1031
(215) 762-1838
Mailing address
1301 TRUMANSBURG RD STE L, ITHACA, NY 14850-1397
(215) 255-7822

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F421384
NY
367A00000X
Advanced Practice Midwife
MW010386
PA

Other

Enumeration date
12/10/2015
Last updated
10/01/2019
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