Individual
JULIE-ANNE JACKIE-MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-5600
Mailing address
262 CORONATION DR, AMHERST, NY 14226-1611
(716) 597-8067
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305615-1
NY
Other
Enumeration date
05/19/2011
Last updated
09/16/2016
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