Thompson, Colleen

Thompson, Colleen is an individual health care provider with primary practice located at 4196 W Us Highway 90 Ste 105, Lake City FL 32055-8833. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Thompson, Colleen can be contacted via phone (386) 243-8474.

Contact Information

Primary practice address
4196 W Us Highway 90 Ste 105 Lake City FL 32055-8833
Phone: (386) 243-8474
Fax: (386) 438-5945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2667852 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP2667852 Florida

Profile Details

NPI number 1922007475
LBN Legal business name Thompson, Colleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922007475 NPPES
Florida MEDICAID 306015200

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