Individual
MITZI B THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000055333
TN
363LW0102X
Women's Health Nurse Practitioner
Primary
201505556NP-PP
OR
363LW0102X
Women's Health Nurse Practitioner
APN 0000005657
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3905311
MEDICARE-TENNCARE
TN
05
—
3905311
—
TN
05
—
500695863
—
OR
Enumeration date
01/18/2006
Last updated
02/03/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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