Doctor Name: | JULIE ANN THOMPSON |
NPI Number: | 1013265073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 22150 |
Business Practice Address: | 1900 Woodland Dr Coos Bay, OR - 974202045 |
Business Phone Number: | 5412675151 |
Business Fax Number: | 5412664589 |
Mailing Address: | 1900 Woodland Dr, COOS BAY |
State: | OR |
Postal Code: | 974202045 |
Phone Number: | 5412675151 |
Fax Number: | 5412664589 |
NPI Enumeration Date: | 08/24/2012 |
NPI Last Update Date: | 05/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 22150 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |