Healthcare Provider Details

I. General information

NPI: 1447490875
Provider Name (Legal Business Name): HILARY THERESA THOMPSON-PIERRE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2009
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5260 LIBERTY RD
VILLA RICA GA
30180-3122
US

IV. Provider business mailing address

5260 LIBERTY RD
VILLA RICA GA
30180-3122
US

V. Phone/Fax

Practice location:
  • Phone: 404-859-4373
  • Fax:
Mailing address:
  • Phone: 404-859-4373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2472E0500X
TaxonomyEEG Technician
License NumberRN188675
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License NumberRN1888675
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN188675
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1888675
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN188675
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberRN188675
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: