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PAMELA JANE THOMPSON NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1417372400

Individual Registrant:
 PAMELA JANE THOMPSON NP
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

Contact information for business:
348 KNIGHT RD  SUMRALL, MS 39482-3702 US
Tel: 251-847-3374  Fax: 251-847-3374

Registration Information:
NPI: 1417372400
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-084120

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MISSISSIPPI NP LICR857524MS01




HEALTH CARE JOBS MS - Page 1



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