Provider Demographics
NPI:1386668093
Name:THOMPSON, DEBORAH ANN (APRN-BC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:SHARPS CHAPEL
Mailing Address - State:TN
Mailing Address - Zip Code:37866-2513
Mailing Address - Country:US
Mailing Address - Phone:865-278-1012
Mailing Address - Fax:865-278-1012
Practice Address - Street 1:2001 LAUREL AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-1810
Practice Address - Country:US
Practice Address - Phone:865-637-5186
Practice Address - Fax:865-637-5121
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2008-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12113363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health