Healthcare Provider Details

I. General information

NPI: 1295186906
Provider Name (Legal Business Name): THOMPSON HEALTH CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2016
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 BROOKMAN DR EXT
BROOKHAVEN MS
39601-2371
US

IV. Provider business mailing address

PO BOX 3864
BROOKHAVEN MS
39603-7864
US

V. Phone/Fax

Practice location:
  • Phone: 601-835-9444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. EMILY THOMPSON
Title or Position: OWNER
Credential: NP
Phone: 601-757-2768