Provider Demographics
NPI:1245385053
Name:THOMPSON, TESSA V (FNP)
Entity type:Individual
Prefix:MRS
First Name:TESSA
Middle Name:V
Last Name:THOMPSON
Suffix:
Gender:
Credentials:FNP
Other - Prefix:MRS
Other - First Name:TESSA
Other - Middle Name:VALENE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1626 JEURGENS CT # 100
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-2219
Mailing Address - Country:US
Mailing Address - Phone:336-990-1318
Mailing Address - Fax:
Practice Address - Street 1:1626 JEURGENS CT # 100
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-2219
Practice Address - Country:US
Practice Address - Phone:336-990-1318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN139789363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily