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Individual

CHARLETTE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
296 MEADOW VALLEY RD, LEXINGTON, KY 40511-8788
(859) 492-9864
Mailing address
296 MEADOW VALLEY RD, LEXINGTON, KY 40511-8788
(859) 492-9864

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012815
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3012815
KY

Other

Enumeration date
04/05/2019
Last updated
10/23/2024
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