Provider Demographics
NPI:1548510720
Name:THOMPSON, NICOLE (MS)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HOWARD UNIVERSITY CANCER CTR
Mailing Address - Street 2:2041 GEORGIA AVE NW #615
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0002
Mailing Address - Country:US
Mailing Address - Phone:321-277-2086
Mailing Address - Fax:202-986-3972
Practice Address - Street 1:HOWARD UNIVERSITY CANCER CTR
Practice Address - Street 2:2041 GEORGIA AVE NW #615
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0002
Practice Address - Country:US
Practice Address - Phone:321-277-2086
Practice Address - Fax:202-986-3972
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2013-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS