Individual
COLLEEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4196 W US HIGHWAY 90, STE 105, LAKE CITY, FL 32055-8833
(386) 243-8474
(386) 438-5945
Mailing address
4196 W US HIGHWAY 90, SUITE 105, LAKE CITY, FL 32055-8833
(386) 243-8474
(386) 438-5945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2667852
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP2667852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306015200
—
FL
Enumeration date
07/18/2005
Last updated
07/01/2024
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