Provider Demographics
NPI:1962834127
Name:THOMPSON, ALAYNE CHRISTINE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ALAYNE
Middle Name:CHRISTINE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ALAYNE
Other - Middle Name:THOMPSON
Other - Last Name:BENASSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:3525 SUGARLOAF PARKWAY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044
Mailing Address - Country:US
Mailing Address - Phone:678-377-1113
Mailing Address - Fax:678-377-9390
Practice Address - Street 1:3525 SUGARLOAF PARKWAY
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044
Practice Address - Country:US
Practice Address - Phone:678-377-1113
Practice Address - Fax:678-377-9390
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23379363LP0200X
MDR177566363LP0200X
GARN302521363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
20131487OtherPNCB
MDR177566OtherNURSING LICENSE
GA003258429FMedicaid