Provider Demographics
NPI:1245385053
Name:THOMPSON, TESSA VALENE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:TESSA
Middle Name:VALENE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:TESSA
Other - Middle Name:VALENE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:201 JORDAN RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4495
Mailing Address - Country:US
Mailing Address - Phone:855-501-1200
Mailing Address - Fax:630-654-4253
Practice Address - Street 1:201 JORDAN RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4495
Practice Address - Country:US
Practice Address - Phone:855-501-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN139789363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily