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NPI Code Detail

MEDICARE: THOMAS P THOMPSON DNP, PMHNP-BC

MEDICARE: THOMAS P THOMPSON DNP, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner4704360497MI
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.0039368OH

General Provider Information

NPI Number : 1912743279
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS P THOMPSON DNP, PMHNP-BC
Provider Business Mailing Address
First Line : 1040 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-5516
Country : US
Telephone Number : 810-496-5500
Fax Number : 810-496-5536
Provider Business Practice Location Address
First Line : 1040 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-5516
Country : US
Telephone Number : 810-496-5500
Fax Number : 810-496-5536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2024
Last Update Date : 06/09/2026

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