Individual
ELISA CLUPPER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
750 NE 13TH ST FL 3, OKLAHOMA CITY, OK 73104-5030
(405) 235-0040
(405) 235-4495
Mailing address
750 NE 13TH ST FL 3, OKLAHOMA CITY, OK 73104-5030
(405) 235-0040
(405) 235-4495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
82995
OK
Other
Enumeration date
02/05/2013
Last updated
07/21/2022
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