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PATRICIA A THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
598 W 11TH AVE, LUMBERTON, MS 39455-2350
(601) 796-4214
(601) 796-9437
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 582-5461

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R857340
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05438580
MS
05
1825069
LA
01
2788583
UNITED HEALTH CARE
MS
01
9229279
AETNA
MS
01
P00445052
RAILROAD MEDICARE
MS
Enumeration date
03/30/2007
Last updated
07/08/2011
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