Individual provider · Type 1 NPI
Kimberly Thompson
Family Nurse Practitioner · Stony Brook, NY
NPI number
1124906482
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-3721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 356199 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1124906482
Kimberly Thompson's National Provider Identifier is 1124906482, issued on Aug 25, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stony Brook, NY. The record was last updated on Sep 2, 2025.