Individual
ADDYSSA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-3855
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-3855
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018043747
MO
363LF0000X
Family Nurse Practitioner
5378280052
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420065805
—
MO
Enumeration date
09/13/2018
Last updated
12/23/2020
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