Individual
MRS. HEIDI V. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1250 W. WHITTAKER, SALEM, IL 62881
(618) 548-3740
Mailing address
400 N PLEASANT AVE, CENTRALIA, IL 62801-3056
(618) 436-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.015107
IL
Other
Enumeration date
11/09/2016
Last updated
11/12/2020
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