Individual
DR. TERENCE TERELL THOMPSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-5000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71009173A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71009173A
IN
Other
Enumeration date
08/07/2019
Last updated
01/22/2021
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