Individual
ELIZABETH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
P-T0921
AR
363A00000X
Physician Assistant
PA-406
AR
363AM0700X
Medical Physician Assistant
Primary
2171
OK
363AM0700X
Medical Physician Assistant
Primary
2172
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2172
OK BOARD OF MEDICAL LICENSURE
OK
Enumeration date
01/21/2010
Last updated
06/01/2026
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