Provider Demographics
NPI:1598009615
Name:THOMPSON, JANET (NP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 JAMES MADISON HWY
Mailing Address - Street 2:104
Mailing Address - City:CULPEPPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701
Mailing Address - Country:US
Mailing Address - Phone:571-228-5923
Mailing Address - Fax:
Practice Address - Street 1:451 JAMES MADISON HWY
Practice Address - Street 2:104
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-2360
Practice Address - Country:US
Practice Address - Phone:154-041-9575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170355363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily