Individual
JASMINE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 COZART ST UNIT 214, DURHAM, NC 27704-6219
(984) 260-5207
Mailing address
1304 COZART ST UNIT 214, DURHAM, NC 27704-6219
(984) 260-5207
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
79896
NC
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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