Deandra Marissah Thompson, PA
Physician Assistant · Fairfield, IL
NPI number
1134877939
Practice location
303 NW 11TH StFairfield, IL 62837-1206
- Phone
- (618) 842-2611
NPI record
- NPI
- 1134877939
- Entity type
- Individual (Type 1)
- Enumeration date
- March 11, 2022
- Last updated
- March 11, 2022
- Certified
- March 11, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
— | — |
Mailing address
613 W 12TH StFlora, IL 62839-1066
- Phone
- (618) 508-3459
About Deandra Thompson
Deandra Marissah Thompson, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 303 NW 11TH St, Fairfield, IL 62837-1206. The NPI number 1134877939 was assigned on March 11, 2022 and the record was last updated on March 11, 2022.
Frequently asked questions
What is the NPI number of Deandra Marissah Thompson, PA?
The NPI number is 1134877939.
What is the phone number of Deandra Thompson?
The phone number listed for the practice location is (618) 842-2611.
Where is Deandra Thompson located?
303 NW 11TH St, Fairfield, IL 62837-1206.
What is the taxonomy code for Deandra Thompson?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physician Assistant providers in Fairfield
- Kenneth J. Schweiss, P.A.209 NW 11TH St
- Emma Funk, PA-C1007 W Main St
- Matthew Dean Brown, PA-C1007 W Main St