Thompson, Nicole Jane

Thompson, Nicole Jane is an individual health care provider with primary practice located at 8430 Medical Plaza Dr Ste 300 , Charlotte NC 28262-9758. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Thompson, Nicole Jane can be contacted via phone (704) 910-6142.

Contact Information

Primary practice address
8430 Medical Plaza Dr Ste 300 Charlotte NC 28262-9758
Phone: (704) 910-6142
Fax: (980) 422-0106
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 076873 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW11908 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X 114912 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 53948 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5018004 North Carolina

Profile Details

NPI number 1588824478
LBN Legal business name Thompson, Nicole Jane
Credentials PMHNP-BC,LCSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Apr 26th, 2023 - about last year

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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