Healthcare Provider Details

I. General information

NPI: 1669690202
Provider Name (Legal Business Name): JOYCE V MORGAN-THOMPSON N.P. AND FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 11/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1063 SANPABLO AVE.
PINOLE CA
94564-2811
US

IV. Provider business mailing address

1063 SAN PABLO AVE
PINOLE CA
94564-2346
US

V. Phone/Fax

Practice location:
  • Phone: 510-964-1432
  • Fax: 888-804-1432
Mailing address:
  • Phone: 510-388-3751
  • Fax: 888-804-1432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8932
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: