Thompson, Jacqueline Jones

Thompson, Jacqueline Jones is an individual health care provider with primary practice located at 5306 Nc Highway 55 Ste 105 , Durham NC 27713-7812. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Thompson, Jacqueline Jones can be contacted via phone (919) 457-1517.

Contact Information

Primary practice address
5306 Nc Highway 55 Ste 105 Durham NC 27713-7812
Phone: (919) 457-1517
Fax: (919) 363-7697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5012379 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 5012379 North Carolina

Profile Details

NPI number 1356982797
LBN Legal business name Thompson, Jacqueline Jones
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2019
Last updated May 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356982797 NPPES
North Carolina Other 5012379 PSYCHIATRIC NURSE PRACTITIONER

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