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NPI Code Detail

MEDICARE: MS. JAMIE LYNN THOMPSON PA-C

MEDICARE: MS. JAMIE LYNN THOMPSON PA-C
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
1363A00000XPhysician AssistantPA1476ME

General Provider Information

NPI Number : 1598194631
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JAMIE LYNN THOMPSON PA-C
Provider Business Mailing Address
First Line : 300 MAIN ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7041
Country : US
Telephone Number : 207-795-0111
Fax Number :
Provider Business Practice Location Address
First Line : 17 HIGH ST STE 1
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7614
Country : US
Telephone Number : 207-795-2935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2013
Last Update Date : 11/14/2025

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