Healthcare Provider Details

I. General information

NPI: 1033088307
Provider Name (Legal Business Name): VIRGINIA M. THOMPSON PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 MANOR PKWY STE 201
SALEM NH
03079-2841
US

IV. Provider business mailing address

6 MANOR PKWY STE 201
SALEM NH
03079-2841
US

V. Phone/Fax

Practice location:
  • Phone: 603-824-6937
  • Fax:
Mailing address:
  • Phone: 603-824-6937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberRN2327009
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number093369-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: