Doctor Name: | MRS. NEILA SUSAN THOMPSON |
NPI Number: | 1669526026 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 3261 |
Business Practice Address: | 2905 Old Barn Cir Owens Cross Roads, AL - 357630136 |
Business Phone Number: | 5027676227 |
Business Fax Number: | |
Mailing Address: | 2905 Old Barn Cir, OWENS CROSS ROADS |
State: | AL |
Postal Code: | 357630136 |
Phone Number: | 5027676227 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 01/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 3261 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |