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Individual

VANESSA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-GNP-BC

Contact information

Practice address
269 SOUTH CHURCH STREET, UNIT 213, SPARTANBURG, SC 29306-3412
(864) 216-3868
Mailing address
PO BOX 128, INMAN, SC 29349-0128
(864) 216-3868

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
54104
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7004135
NC
05
NP0982
SC
Enumeration date
02/08/2006
Last updated
02/17/2025
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