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NPI Code Detail

MEDICARE: JACQUELINE THOMPSON

MEDICARE: JACQUELINE 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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1548717481
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE THOMPSON
Provider Business Mailing Address
First Line : 2301 SPARKS BLVD
Second Line :
City : SPARKS
State : NV
Zip : 89434-2500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2301 SPARKS BLVD
Second Line :
City : SPARKS
State : NV
Zip : 89434-2500
Country : US
Telephone Number : 775-322-4223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2016
Last Update Date : 09/08/2016

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Directions to “ JACQUELINE THOMPSON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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