Individual
MRS. JESSICA MARJORIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7741
Mailing address
22 DERBY NECK RD, DERBY, CT 06418-1052
(203) 993-0985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005093
CT
Other
Enumeration date
09/26/2012
Last updated
12/11/2012
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