Individual
KAITLYN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7125 MURRELL RD STE D, MELBOURNE, FL 32940-7999
(321) 434-9562
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-9562
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11036627
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
US013
MEDICARE HF
FL
Enumeration date
11/29/2022
Last updated
03/12/2025
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