Individual
MONIKA MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 525-1913
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP123370
TX
363LN0000X
Neonatal Nurse Practitioner
AP07251-RN121652
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340916101
—
TX
01
—
752616977042
BCBS
TX
01
—
8091NK
BCBS
TX
Enumeration date
05/20/2013
Last updated
09/16/2024
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