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NPI Code Detail

MEDICARE: COURTNI THOMPSON

MEDICARE: COURTNI THOMPSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11048097FL

General Provider Information

NPI Number : 1245165802
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNI THOMPSON
Provider Business Mailing Address
First Line : 1931 MARTIN LUTHER KING JR BLVD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-5314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1931 MARTIN LUTHER KING JR BLVD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-5314
Country : US
Telephone Number : 850-740-5010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ COURTNI THOMPSON ” Practice Location

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