MRS. KELLI MARIE THOMPSON NPI 1760004667

NPI Information

NPI: 1760004667
Provider Name: MRS. KELLI MARIE THOMPSON
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
122 CANAL ST STE 104
POOLER, GA
ZIP 31322
Phone: (912) 450-0999
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MRS. Kelli Marie Thompson is a family nurse practitioner in Pooler, GA. MRS. Kelli Marie Thompson NPI is 1760004667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

122 CANAL ST STE 104
POOLER, GA
ZIP 31322-408
Phone: (912) 450-0999

The enumeration date for this NPI number is 5/13/2020 and was last updated on 5/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	268094	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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