MEDICARE: JULIE MARIE THOMPSON RN

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
1	163WH0200X	Home Health Registered Nurse	R124293-5	MN

General Provider Information

NPI Number	:	1568750818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MARIE THOMPSON RN

Provider Business Mailing Address
First Line	:	14829 OAKLAND BEACH AVE SE
Second Line	:
City	:	PRIOR LAKE
State	:	MN
Zip	:	55372-1418
Country	:	US
Telephone Number	:	952-212-4709
Fax Number	:

Provider Business Practice Location Address
First Line	:	14829 OAKLAND BEACH AVE SE
Second Line	:
City	:	PRIOR LAKE
State	:	MN
Zip	:	55372-1418
Country	:	US
Telephone Number	:	952-212-4709
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2011
Last Update Date	:	01/21/2026

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