Provider Demographics
NPI:1972391100
Name:THOMPSON, JULIE NICOLE (RN)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:NICOLE
Last Name:THOMPSON
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:NICOLE
Other - Last Name:ISOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1460 N MAIN ST UNIT 1B
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1016
Mailing Address - Country:US
Mailing Address - Phone:385-518-0403
Mailing Address - Fax:385-518-0403
Practice Address - Street 1:1460 N MAIN ST UNIT 1B
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-1016
Practice Address - Country:US
Practice Address - Phone:385-518-0403
Practice Address - Fax:385-518-0403
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID4561770390200000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program