Individual
JEANETTE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
558 RHEINE RD NW, PALM BAY, FL 32907-1044
(321) 213-5531
Mailing address
558 RHEINE RD NW, PALM BAY, FL 32907-1044
(321) 213-5531
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9175115
FL
163WD0400X
Diabetes Educator Registered Nurse
RN9175115
FL
310400000X
Assisted Living Facility
Primary
13830
FL
Other
Enumeration date
04/09/2010
Last updated
07/16/2024
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