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Individual

JENNIFER THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC

Contact information

Practice address
305 ESTILL ST, BEREA, KY 40403-1742
(859) 985-1415
Mailing address
105 BLANTON LN, LONDON, KY 40741-9294
(859) 314-1150

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3013571
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3013571
APRN LICENSE
KY
05
7100613090
KY
Enumeration date
07/08/2019
Last updated
05/09/2023
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