Most Relevant Information
Provider Data
NPI Number: | 1003538117 |
Provider Name: | NIKITA MARIE THOMPSON |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 09/15/2022 |
Last Updated: | 09/15/2022 |
Provider Practice Location
325 N STATE OF FRANKLIN RD
JOHNSON CITY
TN
376046056
Practice Location Phone/Fax
Phone: | 4234336757 |
Fax: |
Provider Mailing Location
325 N STATE OF FRANKLIN RD
JOHNSON CITY
TN
376046056
Provider Mailing Phone/Fax
Phone: | 4234336757 |
Fax: |