Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101252309 | VA |
Y | 2080P0201X | Pediatric Allergist | ME143453 | FL |
NPI | 1326332362 |
---|---|
Provider Name | Dr. Jennifer Lynne Thompson |
First Address | Gainesville, FL 32610-3003 |
Second Address | Bethesda, MD 20889-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2011 |
Last Update Date | 01/07/2020 |