Individual
MRS. REBECCA ANN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC, ANP-BC
Contact information
Practice address
400 REBEL DRIVE, UNIVERSITY, MS 38677
(662) 915-7274
(662) 915-5292
Mailing address
400 REBEL DRIVE, UNIVERSITY, MS 38677
(662) 915-7274
(662) 915-5292
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R670446
MS
363LW0102X
Women's Health Nurse Practitioner
APN15987
TN
363LW0102X
Women's Health Nurse Practitioner
R670446
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02029506
—
MS
Enumeration date
08/18/2011
Last updated
09/06/2018
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