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NPI Code Detail

MEDICARE: CRYSTAL THOMPSON

MEDICARE:   CRYSTAL  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
1163WC1600XContinuing Education/Staff Development Registered Nurse310462LA
2163WH1000XHospice Registered Nurse310462LA
3164W00000XLicensed Practical Nurse310462LA

General Provider Information

NPI Number : 1265920938
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL THOMPSON
Provider Business Mailing Address
First Line : 1716 HERO ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70114-6104
Country : US
Telephone Number : 504-220-1886
Fax Number :
Provider Business Practice Location Address
First Line : 1716 HERO ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70114-6104
Country : US
Telephone Number : 504-220-1886
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2018
Last Update Date : 04/06/2026

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Directions to “ CRYSTAL THOMPSON ” Practice Location

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