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Individual

JENNIFER THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501
(770) 219-9000
(770) 219-6021
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 219-8440

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN215493
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN215493
GA
363LG0600X
Gerontology Nurse Practitioner
RN215493
GA

Other

Enumeration date
05/23/2019
Last updated
02/03/2022
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