Individual provider · Type 1 NPI

Juelle Myra Thompson

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1700782992 Active

Practice location

1765 South Ave
Staten Island, NY 10314-3604

Call (718) 761-9800 Map

Mailing address

260 Park Hill Ave Apt 3T
Staten Island, NY 10304-4606

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X902592259 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700782992

Juelle Myra Thompson's National Provider Identifier is 1700782992, issued on Oct 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Oct 15, 2026.