Individual provider · Type 1 NPI

John Mychal Thompson, MSN, APRN, AGNP-C

Gerontology Nurse Practitioner · Texarkana, TX

NPI number 1174122121 Active

Practice location

3002 Moores Ln
Texarkana, TX 75503-2204

Fax (833) 491-2722

Mailing address

1411 Terrace
Magnolia, AR 71753-2040

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X212494 (AR)
Adult Health Nurse Practitioner 363LA2200X212494 (AR)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1174122121

John Mychal Thompson, MSN, APRN, AGNP-C's National Provider Identifier is 1174122121, issued on Oct 21, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Texarkana, TX. The record was last updated on Jun 9, 2026.