Individual
DR. YVETTE L THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1166 LAUREL VALLEY DR, ORANGE PARK, FL 32065-2714
(757) 377-0245
(904) 236-4616
Mailing address
1166 LAUREL VALLEY DR, ORANGE PARK, FL 32065-2714
(757) 377-0245
(904) 236-4616
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0103300929
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141169
SENTARA
VA
01
—
306683
ANTHEM
VA
Enumeration date
07/05/2006
Last updated
06/14/2021
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