Individual
MRS. STEPHANIE ELAINE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
250 OAK STREET, HICKORY FLAT, MS 38633-0035
(662) 333-1128
(662) 333-1196
Mailing address
PO BOX 35, HICKORY FLAT, MS 38633-0035
(662) 333-1128
(662) 333-1196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R855906
MS
Other
Enumeration date
07/03/2008
Last updated
12/22/2014
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