Individual
JEAN BENNETT THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
8950 LORRAINE RD, SUITE B, GULFPORT, MS 39503
(228) 575-2770
(228) 896-5374
Mailing address
8950 LORRAINE RD, SUITE B, GULFPORT, MS 39503
(228) 575-2770
(228) 896-5374
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R851018
MS
Other
Enumeration date
09/20/2006
Last updated
12/21/2015
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