| Doctor Name: | KRISHAWNA MUND THOMPSON |
| NPI Number: | 1891133294 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 734317 |
| Business Practice Address: | 1284 W Van Alstyne Pkwy Van Alstyne, TX - 754954390 |
| Business Phone Number: | 9034825181 |
| Business Fax Number: | 9034821290 |
| Mailing Address: | 1930 U S Highway 190 W, LIVINGSTON |
| State: | TX |
| Postal Code: | 773519600 |
| Phone Number: | 9363279944 |
| Fax Number: | 9033279945 |
| NPI Enumeration Date: | 06/06/2013 |
| NPI Last Update Date: | 02/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 734317 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |