Individual
PEPE L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
145 W 4TH ST, SUITE 102, COOKEVILLE, TN 38501-2447
(931) 783-2143
(931) 783-2152
Mailing address
127 N OAK AVE, SUITE D, COOKEVILLE, TN 38501-2435
(931) 783-5857
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8346
TN
363LA2100X
Acute Care Nurse Practitioner
3013387
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
8346
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3900988
—
TN
05
—
3990989
—
TN
01
—
4271773
BCBS
TN
05
—
7100448910
—
KY
Enumeration date
10/17/2005
Last updated
10/10/2019
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