Provider Demographics
NPI:1215419551
Name:THOMPSON, TAMRA D (APRN)
Entity type:Individual
Prefix:MS
First Name:TAMRA
Middle Name:D
Last Name:THOMPSON
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 BELINDA BLVD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-3217
Mailing Address - Country:US
Mailing Address - Phone:859-439-0340
Mailing Address - Fax:859-209-4278
Practice Address - Street 1:106 BELINDA BLVD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-3217
Practice Address - Country:US
Practice Address - Phone:859-439-0340
Practice Address - Fax:859-209-4278
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3012439363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily