Healthcare Provider Details

I. General information

NPI: 1689308207
Provider Name (Legal Business Name): MARY THOMPSON EARP MSN, APRN, NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY THERESA THOMPSON BSN, RN

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

6119 HIGHCASTLE CT
RALEIGH NC
27613-3002
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-5063
  • Fax:
Mailing address:
  • Phone: 919-623-1998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number286633
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number5016508
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: