Individual
ANDREA DENISE THOMPSON-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(762) 408-2605
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(770) 296-8157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN189675
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F12170207
FNP CERTIFICATION
GA
Enumeration date
12/14/2017
Last updated
09/22/2023
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