Individual
SANDRA JEANNE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
264 BOYDEN AVE, MAPLEWOOD, NJ 07040-3070
(973) 761-5200
Mailing address
24 MEEKER CT, ROSELAND, NJ 07068-3715
(201) 396-1887
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00382900
NJ
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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