Emily Thompson, NP
Nurse Practitioner, Gerontology in Ft Worth, TX. Individual provider (NPI-1).
NPI number1699212100
StatusActive
Last updated in NPPESJan 22, 2017
Details
- NPI
- 1699212100
- Entity type
- Individual (NPI-1)
- Name
- Emily Thompson
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2017
- Last updated
- Jan 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | AP132813 | TX | Yes |
Practice location
1305 W Magnolia AveSuite B
Ft Worth, TX 76104-4351
Phone 817-522-1530 · Fax 817-523-8667
Mailing address
1305 W Magnolia AveSuite B
Ft Worth, TX 76104-4351
Phone 817-522-1530 · Fax 817-523-8667
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