Provider Demographics
NPI:1366007551
Name:THOMPSON, KRYSTA DANAE (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:KRYSTA
Middle Name:DANAE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 ABNER JACKSON PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5157
Mailing Address - Country:US
Mailing Address - Phone:979-313-6039
Mailing Address - Fax:979-297-6475
Practice Address - Street 1:115 ABNER JACKSON PKWY STE C
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5157
Practice Address - Country:US
Practice Address - Phone:979-297-9086
Practice Address - Fax:979-297-6475
Is Sole Proprietor?:No
Enumeration Date:2019-05-03
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141540363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner