Individual
MRS. JACQUELINE RENEE THIGPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1002 N CHURCH ST STE 201, GREENSBORO, NC 27401-1448
(336) 378-0713
Mailing address
70 COVINGTON PL, GREENSBORO, NC 27407-7540
(336) 543-5274
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012567
NC
363LA2200X
Adult Health Nurse Practitioner
5012567
NC
363LG0600X
Gerontology Nurse Practitioner
5012567
NC
Other
Enumeration date
11/15/2019
Last updated
09/10/2024
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