Individual
JENNIFER THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
737 ANELA DR, DIAMONDHEAD, MS 39525-3914
(228) 342-5366
Mailing address
737 ANELA DR, DIAMONDHEAD, MS 39525-3914
(228) 342-5366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
871352
MS
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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