Healthcare Provider Details

I. General information

NPI: 1437960002
Provider Name (Legal Business Name): HANNAH THOMPSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8275 HOLLY RD STE 2
GRAND BLANC MI
48439-2442
US

IV. Provider business mailing address

3495 S CENTER RD
BURTON MI
48519-1455
US

V. Phone/Fax

Practice location:
  • Phone: 810-603-8400
  • Fax: 810-603-8410
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704339529
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: