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PAMELA JANE THOMPSON NP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1417372400
Individual Registrant: PAMELA JANE THOMPSON NP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
348 KNIGHT RD SUMRALL, MS 39482-3702 US
Tel: 251-847-3374 Fax: 251-847-3374
Tel: 251-847-3374 Fax: 251-847-3374
Contact information for business:
348 KNIGHT RD SUMRALL, MS 39482-3702 US
Tel: 251-847-3374 Fax: 251-847-3374
Tel: 251-847-3374 Fax: 251-847-3374
Registration Information:
NPI: 1417372400
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | AL | 1-084120 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MISSISSIPPI NP LIC | R857524 | MS | 01 |
