Tessa Thompson, DO
Family Medicine in Washington, DC. Individual provider (NPI-1).
NPI number1124239090
StatusActive
Last updated in NPPESOct 11, 2019
Details
- NPI
- 1124239090
- Entity type
- Individual (NPI-1)
- Name
- Tessa Thompson
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2007
- Last updated
- Oct 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 0116016481 | VA | Yes |
Practice location
2155 Champlain St NwWashington, DC 20009-2795
Phone 202-540-9857
Mailing address
4 Atlantic St SwWashington, DC 20032-2350
Phone 202-540-9857
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