Provider Demographics
NPI:1871663377
Name:THOMPSON, GILIAN FRANCES (PA)
Entity Type:Individual
Prefix:MS
First Name:GILIAN
Middle Name:FRANCES
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:14506 SULPHUR SPRINGS TER
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-2778
Mailing Address - Country:US
Mailing Address - Phone:909-717-3023
Mailing Address - Fax:909-717-3023
Practice Address - Street 1:1025 NEW MOODY LN
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-9154
Practice Address - Country:US
Practice Address - Phone:502-222-3347
Practice Address - Fax:502-222-3646
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA17729363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMD1305095OtherDEA