Individual
JENNIFER SMITH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1502 W 3RD ST, JACKSON, GA 30233-1979
(678) 774-0430
(770) 775-3410
Mailing address
1502 W 3RD ST, JACKSON, GA 30233-1979
(678) 774-0430
(770) 775-3410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN142971
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235074233A
—
GA
Enumeration date
05/21/2008
Last updated
05/05/2015
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