Provider Demographics
NPI:1528847571
Name:THOMPSON, ALINA
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SEVAN CT
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3368
Mailing Address - Country:US
Mailing Address - Phone:352-219-4380
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 749495
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30374-9495
Practice Address - Country:US
Practice Address - Phone:855-963-2100
Practice Address - Fax:239-236-2775
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-218491207Q00000X
NC321843363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine