Individual
JAIME THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN PMHNP-BC
Contact information
Practice address
1774 W MCDERMOTT DR, SUITE 150, ALLEN, TX 75013
(469) 340-2777
Mailing address
2722 FOXBORO DR, GARLAND, TX 75044-2820
(214) 250-7871
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP142096
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019028426
ANC CERTIFICATION
—
Enumeration date
07/08/2019
Last updated
07/08/2019
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