Provider Demographics
NPI:1518210475
Name:THOMPSON, REBECCA A (APRN)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:A
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 RUPPERT CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-1152
Mailing Address - Country:US
Mailing Address - Phone:937-403-6607
Mailing Address - Fax:937-550-9458
Practice Address - Street 1:22 RUPPERT CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-1152
Practice Address - Country:US
Practice Address - Phone:937-403-6607
Practice Address - Fax:937-550-9458
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2023-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-362743163W00000X
OH022210363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse