Individual
JAYE RACHELLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
615 N MAIN ST, BRINKLEY, AR 72021-2507
(870) 734-1150
(870) 734-1179
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 301-2092
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004323
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201477729
—
AR
05
—
201478729
—
AR
05
—
201479729
—
AR
05
—
201481729
—
AR
05
—
201482729
—
AR
05
—
203673729
—
AR
Enumeration date
02/13/2015
Last updated
10/31/2023
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