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NPI Code Detail

MEDICARE: JENNIFER LYNN THOMPSON

MEDICARE: JENNIFER LYNN THOMPSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician35.154951OH
2207P00000XEmergency Medicine Physician4301513617MI

General Provider Information

NPI Number : 1851991541
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN THOMPSON
Provider Business Mailing Address
First Line : MSC11 6025 1 UNIVERSITY OF NEW MEXICO
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87131-0001
Country : US
Telephone Number : 505-272-5062
Fax Number :
Provider Business Practice Location Address
First Line : 2211 LOMAS BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-2719
Country : US
Telephone Number : 505-272-3414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2020
Last Update Date : 03/10/2026

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Directions to “ JENNIFER LYNN THOMPSON ” Practice Location

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