Individual
MRS. ANDREA JEAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 N PEACH ST, BUNNELL, FL 32110-5988
(386) 237-4032
Mailing address
600 N PEACH ST, BUNNELL, FL 32110-5988
(386) 237-4032
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11000005
FL
363LF0000X
Family Nurse Practitioner
11000005
FL
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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