Nicole Anna Thompson, PA Valid NPI
Individual provider · Physician Assistant · Edmond, OK
- NPI
- 1770214165
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 4829 (OK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-06-17
- Last updated
- 2024-05-13
Practice location
4833 Integris Pkwy Ste 150
Edmond, OK 73034-8864
(405) 657-3990