Individual
DR. KRYSTAL L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 E 5TH ST, LUMBERTON, NC 28358-6031
(910) 739-1666
(910) 739-6822
Mailing address
60 COMMERCE PLAZA CIR, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
197515
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487120556
MEDCOST
NC
05
—
1487120556
—
NC
01
—
200Z7
BCBSNC
NC
Enumeration date
10/16/2018
Last updated
07/18/2019
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