Provider Demographics
NPI:1881233773
Name:THOMPSON, PARIS (DNP, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:PARIS
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:PARIS
Other - Middle Name:JAMEKA
Other - Last Name:BLOOMFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, FNP-C
Mailing Address - Street 1:2000 HAMPTON ST.
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204
Mailing Address - Country:US
Mailing Address - Phone:803-530-8674
Mailing Address - Fax:803-576-2720
Practice Address - Street 1:2000 HAMPTON ST.
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204
Practice Address - Country:US
Practice Address - Phone:803-530-8674
Practice Address - Fax:803-576-2720
Is Sole Proprietor?:No
Enumeration Date:2019-12-26
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23895363LF0000X
TN26926363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily