Individual
MS. NANCY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
220 BARTON BLVD UNIT C-14, ROCKLEDGE, FL 32955-2742
(321) 241-6800
(321) 241-6890
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN1729752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763546000
—
FL
01
—
Y3262
BCBSFL
FL
Enumeration date
06/13/2006
Last updated
12/06/2023
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