Individual
HEATHER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 NE 10TH ST STE 1C, OKLAHOMA CITY, OK 73104-5417
(405) 271-2663
(405) 271-3074
Mailing address
15917 ANGIE KAYE LN, EDMOND, OK 73013-1980
(405) 923-1435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2385
OK
363AS0400X
Surgical Physician Assistant
PA17901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA17901
PA LICENSE
CA
Enumeration date
08/10/2007
Last updated
01/09/2026
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