Individual
JADA LOVE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 BRISTOL WAY, BRANDON, MS 39047-7726
(901) 239-5176
Mailing address
505 BRISTOL WAY, BRANDON, MS 39047-7726
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
905703
MS
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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