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NPI Code Detail

MEDICARE: MARLESHA LASHA THOMPSON

MEDICARE:   MARLESHA LASHA 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 Practitioner219580AR

General Provider Information

NPI Number : 1245948017
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLESHA LASHA THOMPSON
Provider Business Mailing Address
First Line : 5350 CRAWFORD ST APT 1205
Second Line :
City : HOUSTON
State : TX
Zip : 77004-6853
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 147 SECTION LINE RD STE G
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-6188
Country : US
Telephone Number : 501-414-0438
Fax Number : 501-414-0490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2022
Last Update Date : 06/26/2024

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Directions to “ MARLESHA LASHA THOMPSON ” Practice Location

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