Individual
JANELLE M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-2000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024186803
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
710973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171362007
—
TX
01
—
85936U
BCBS
TN
01
—
86707U
BCBSTX
TX
Enumeration date
01/12/2006
Last updated
04/25/2024
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