Individual
ARDRIENNE H THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1545 N MERIDIAN ST, INDIANAPOLIS, IN 46202-2306
(317) 923-1491
Mailing address
6320 N COLLEGE AVE, INDIANAPOLIS, IN 46220-1706
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001425A
IN
363LF0000X
Family Nurse Practitioner
Primary
71001425A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200405190
—
IN
01
—
P01058803
RR MEDICARE PTAN
IN
Enumeration date
01/11/2007
Last updated
03/17/2024
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