Individual
SHANNON TILLAR THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
200 FORBES ST STE 200, ANNAPOLIS, MD 21401-1599
(410) 263-6363
Mailing address
200 FORBES ST STE 200, ANNAPOLIS, MD 21401-1599
(410) 263-6363
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R259175
MD
Other
Enumeration date
09/25/2013
Last updated
09/26/2024
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