Individual
ADAM TYLER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 HIGHLAND RD STE 1, RICHMOND, IN 47374-8810
(765) 935-8905
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 935-8802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011141A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300050260
—
IN
Enumeration date
05/12/2021
Last updated
06/06/2023
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