Individual
NICOLE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
753 FAIRVIEW AVE, WEBSTER GROVES, MO 63119-1940
(314) 954-6441
Mailing address
753 FAIRVIEW AVE, WEBSTER GROVES, MO 63119-1940
(314) 954-6441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2016003619
MO
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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