Individual
EMILY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PNP
Contact information
Practice address
1301 BARBARA JORDAN BLVD, SUITE 200, AUSTIN, TX 78723-3077
(512) 628-1850
Mailing address
1301 BARBARA JORDAN BLVD, SUITE 308, AUSTIN, TX 78723-3077
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
751692
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330354701
—
TX
05
—
330354702
—
TX
Enumeration date
07/11/2013
Last updated
01/05/2015
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