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NPI Code Detail

MEDICARE: FAITH LESLIE THOMPSON MSN, RN, CA-CP SANE

MEDICARE: FAITH LESLIE THOMPSON MSN, RN, CA-CP SANE
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
1163W00000XRegistered Nurse779980TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1779980OTHERTXRN NURSING LICENSE

General Provider Information

NPI Number : 1487599981
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH LESLIE THOMPSON MSN, RN, CA-CP SANE
Provider Business Mailing Address
First Line : 1733 WYCHWOOD DR
Second Line :
City : ABILENE
State : TX
Zip : 79605-5037
Country : US
Telephone Number : 325-670-2992
Fax Number :
Provider Business Practice Location Address
First Line : 1900 PINE ST
Second Line :
City : ABILENE
State : TX
Zip : 79601-2432
Country : US
Telephone Number : 325-670-2992
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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