Provider Demographics
NPI:1881015444
Name:THOMPSON, NANCY D (PMHNP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:D
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:D
Other - Last Name:HILLMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 KENDALL AVE N
Mailing Address - Street 2:
Mailing Address - City:THIEF RIVER FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56701-2212
Mailing Address - Country:US
Mailing Address - Phone:509-948-5730
Mailing Address - Fax:218-739-1329
Practice Address - Street 1:1801 W ALCOTT AVE
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-2661
Practice Address - Country:US
Practice Address - Phone:218-332-5001
Practice Address - Fax:218-739-1329
Is Sole Proprietor?:No
Enumeration Date:2013-12-30
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR141541-6363LP0808X, 363LP0808X
MN3406363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health