(800) 868-1923

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: