Provider Demographics
NPI:1528861465
Name:THOMPSON, ALLISON LEE BLAKE
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:LEE BLAKE
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 1:8275 S EASTERN AVE STE 127
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2544
Mailing Address - Country:US
Mailing Address - Phone:772-775-4685
Mailing Address - Fax:
Practice Address - Street 1:8275 S EASTERN AVE STE 127
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2544
Practice Address - Country:US
Practice Address - Phone:772-775-4685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide