Individual
MR. CLIFTON EARL THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 681-4402
(919) 684-7096
Mailing address
4457 S SMITHFIELD RD, KNIGHTDALE, NC 27545-9357
(919) 261-9491
(919) 261-9491
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5005237
NC
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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