Philip Clark Thompson
Nurse Anesthetist, Certified Registered in Madison, TN. Individual provider (NPI-1).
NPI number1417618554
StatusActive
Last updated in NPPESApr 15, 2025
Details
- NPI
- 1417618554
- Entity type
- Individual (NPI-1)
- Name
- Philip Clark Thompson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 30, 2021
- Certification date
- Apr 15, 2025
- Last updated
- Apr 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 82742 | NM | Yes |
| 163W00000X | Registered Nurse | 227368 | TN |
Practice location
315 Hospital DrMadison, TN 37115-5030
Phone 615-868-6503
Mailing address
315 Hospital DrMadison, TN 37115-5030
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All 89 Certified Registered Nurse Anesthetist providers in Madison · All 1,114 providers in Madison
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