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Individual

DESIREA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
PO BOX 513, ENNIS, TX 75120-0513
(469) 383-4221
Mailing address
PO BOX 513, ENNIS, TX 75120-0513

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1231922
TX

Other

Enumeration date
04/30/2026
Last updated
04/30/2026
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