Individual
JAYDE A THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363AS0400X
Surgical Physician Assistant
Primary
5393
WI
Other
Enumeration date
05/11/2015
Last updated
01/07/2022
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