Individual
NAVEISHA TANETTE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
310 E WARDELL DR, PEMBROKE, NC 28372-7997
(910) 521-1273
Mailing address
310 E WARDELL DR, PEMBROKE, NC 28372-7997
(910) 521-1273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5016411
NC
Other
Enumeration date
06/22/2022
Last updated
01/27/2023
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