| Jeremy Keith Thompson, FNP-C | |
| 
					1709 S 16th St Ste A, Wilmington, NC 28401-6491  | |
| (910) 452-8633 | |
| (910) 452-8589 | 
| Full Name | Jeremy Keith Thompson | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1709 S 16th St Ste A, Wilmington, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1164974796 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5009048 (North Carolina) | Primary | 
| Entity Name | Senior Health Associates, P.a. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396893640 PECOS PAC ID: 6406867191 Enrollment ID: O20091130000633  | 
| Entity Name | Star Medical Clinic Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033565007 PECOS PAC ID: 6800183963 Enrollment ID: O20160919000529  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jeremy Keith Thompson, FNP-C Po Box 15109, Wilmington, NC 28408-5109 Ph: (910) 392-2525  | Jeremy Keith Thompson, FNP-C 1709 S 16th St Ste A, Wilmington, NC 28401-6491 Ph: (910) 452-8633  | 
Travis Aaron Finkle, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2909 Market St, Wilmington, NC 28403 Phone: 910-687-4888  | |
Carolyn Jones,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970  | |
Valerie Lynn Wegener, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8108b Market St, Wilmington, NC 28411 Phone: 910-341-3300 Fax: 910-251-2067  | |
Mrs. Shannon Boney Mathis, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1090 Medical Center Dr, Wilmington, NC 28401 Phone: 910-662-8550 Fax: 910-343-1924  | |
Nannette B Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-772-9202 Fax: 910-772-9452  | |
Elizabeth Granger, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970  | |
Kelly B Miller,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2334 41st St, Wilmington, NC 28403 Phone: 910-641-4095  |