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Individual

SUZANNE THOMPSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
APRN, BC, FNP

Contact information

Practice address
601 W. JEFFERSON ST., SUITE C, CONWAY, MO 65632
(417) 589-2050
(417) 589-4046
Mailing address
601 W. JEFFERSON ST., P.O. BOX 9, CONWAY, MO 65632
(417) 589-2050
(417) 589-4046

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN092954
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN092954
STATE LICENS
MO
Enumeration date
12/22/2005
Last updated
07/09/2007
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