Individual
MS. JENNELLE ASHLEY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1608 N ROAD 44, PASCO, WA 99301-2667
(509) 543-9280
(509) 545-6275
Mailing address
1608 N ROAD 44, PASCO, WA 99301-2667
(509) 543-9280
(509) 545-6275
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60705026
WA
Other
Enumeration date
10/04/2016
Last updated
12/07/2016
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