Doctor Name: | MS. VICKI A. THOMPSON |
NPI Number: | 1205816956 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP ( CRNP) |
License Number: | 1-072299 |
Business Practice Address: | 1903 Hand Ave Bay Minette, AL - 365074112 |
Business Phone Number: | 2519377970 |
Business Fax Number: | 2519379260 |
Mailing Address: | 44533 Pine Grove Road, Po Box 226 BAY MINETTE |
State: | AL |
Postal Code: | 365070226 |
Phone Number: | 2519377012 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2006 |
NPI Last Update Date: | 04/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-072299 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |