Individual
LESLIE ANN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201
(517) 205-4956
(517) 205-7828
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4956
(517) 205-7828
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704176806
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952534588
—
MI
Enumeration date
08/31/2009
Last updated
01/28/2021
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