Provider Demographics
NPI:1508967571
Name:THOMPSON, CAROL LYNN (RN, ACNP, FNP)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:LYNN
Last Name:THOMPSON
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Gender:F
Credentials:RN, ACNP, FNP
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Mailing Address - Street 1:UK DIVISION OF PULMONARY CRITICAL CARE
Mailing Address - Street 2:740 S. LIMESTONE, L543 KY CLINIC
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0284
Mailing Address - Country:US
Mailing Address - Phone:859-323-5045
Mailing Address - Fax:859-257-2418
Practice Address - Street 1:UK DIVISION OF PULMONARY CRITICAL CARE
Practice Address - Street 2:800 ROSE STREET
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0284
Practice Address - Country:US
Practice Address - Phone:859-323-5045
Practice Address - Fax:859-257-2418
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3008703363LA2100X, 363LF0000X
TNAPN0000006333363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily