Thompson, Deidra

Thompson, Deidra is an individual health care provider with primary practice located at 3794 Highway 468 W , Pearl MS 39208-9008. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Thompson, Deidra can be contacted via phone (601) 932-2880.

Contact Information

Primary practice address
3794 Highway 468 W Pearl MS 39208-9008
Phone: (601) 932-2880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R886810 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R886810 Mississippi

Profile Details

NPI number 1033585286
LBN Legal business name Thompson, Deidra
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2015
Last updated Apr 10th, 2019 - about 7 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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