Individual
JENNIFER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
197 HALF HOLLOW RD, DIX HILLS, NY 11746-5861
(631) 370-1693
Mailing address
29 MAIN ST UNIT B, KINGS PARK, NY 11754-2713
(631) 987-0267
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
854320
NY
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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