Individual
JESSE DANIEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
5300 57TH ST N BLDG 1, BIRMINGHAM, AL 35217-3328
(256) 702-7406
Mailing address
5300 57TH ST N BLDG 1, BIRMINGHAM, AL 35217-3328
(256) 702-7406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-148667
AL
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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