Individual
DR. REBECCA A. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
102A PHYSICIANS DR, MUSCLE SHOALS, AL 35661-2100
(256) 386-7553
(256) 383-7293
Mailing address
102A PHYSICIANS DR, MUSCLE SHOALS, AL 35661-2100
(256) 386-7553
(256) 383-7293
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1078532
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-078532
NURSING LICENSE
AL
01
—
146586
MEDICAID RURAL HEALTH
AL
01
—
51048649
BLUE CROSS RUSSELLVILLE
AL
01
—
51516816THO
BLUE CROSS & BLUE SHIELD
AL
05
—
891002110
—
AL
05
—
891017633
—
AL
Enumeration date
10/19/2006
Last updated
08/10/2016
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