Individual
MRS. NEILA SUSAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
207 ELK AVE S, FAYETTEVILLE, TN 37334-3051
(931) 433-2551
(931) 438-0069
Mailing address
207 ELK AVE S, FAYETTEVILLE, TN 37334-3051
(931) 433-2551
(931) 438-0069
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1-128900
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
16383
TN
363LP0200X
Pediatric Nurse Practitioner
3261
AL
Other
Enumeration date
01/23/2007
Last updated
02/15/2023
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