Healthcare Provider Details

I. General information

NPI: 1841663705
Provider Name (Legal Business Name): RHONDA LOU THOMPSON APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2015
Last Update Date: 11/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 CHICKADEE CIR
HERMITAGE TN
37076-5627
US

IV. Provider business mailing address

1160 CHICKADEE CIR
HERMITAGE TN
37076-5627
US

V. Phone/Fax

Practice location:
  • Phone: 615-330-1117
  • Fax:
Mailing address:
  • Phone: 615-330-1117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAPN 7559
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: