Individual provider · Type 1 NPI
Makenzie Thompson
Family Nurse Practitioner · Ghent, WV
NPI number
1386196996
Active
Practice location
149 Mcintosh St
Ghent, WV 25843-1805
Mailing address
202 Guyandotte Ave
Mullens, WV 25882-1308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 92290 (WV) |
| Family Nurse Practitioner Primary | 363LF0000X | 106985 (WV) |
Family Nurse Practitioner: Definition to come...
About NPI 1386196996
Makenzie Thompson's National Provider Identifier is 1386196996, issued on Oct 30, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ghent, WV. The record was last updated on Oct 18, 2020.