Individual provider · Type 1 NPI

Mary Jane Thompson, CNP

Nurse Practitioner · Conneaut, OH

NPI number 1790977205 Active

Practice location

530 Creek Rd
Conneaut, OH 44030-3018

Mailing address

6100 Rockside Woods Blvd N, Suite 425
Independence, OH 44131-2366

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1281636 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790977205

Mary Jane Thompson, CNP's National Provider Identifier is 1790977205, issued on Aug 17, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Conneaut, OH. The record was last updated on Dec 10, 2013.