Provider Demographics
NPI:1629555198
Name:THOMPSON, KATHERINE ELIZABETH (APRN)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ELIZABETH
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:9500 KANIS RD STE 410
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6377
Mailing Address - Country:US
Mailing Address - Phone:501-202-2015
Mailing Address - Fax:501-202-2285
Practice Address - Street 1:9500 KANIS RD STE 410
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6377
Practice Address - Country:US
Practice Address - Phone:501-202-2015
Practice Address - Fax:501-202-2285
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARA005730363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care