| Mr John Mychal Thompson, MSN, APRN, AGNP-C | |
|
3002 Moores Ln, Texarkana, TX 75503-2204 | |
| (430) 200-4350 | |
| (833) 491-2722 |
| Full Name | Mr John Mychal Thompson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 3002 Moores Ln, Texarkana, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174122121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 212494 (Arkansas) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 212494 (Arkansas) | Primary |
| Entity Name | Access Medical Clinic Arkansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578007647 PECOS PAC ID: 5890077093 Enrollment ID: O20170124001288 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365 |
| Entity Name | Midsouth Transitions Arkansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003427873 PECOS PAC ID: 1153731005 Enrollment ID: O20201103002747 |
| Entity Name | Pallicare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316511884 PECOS PAC ID: 8123429925 Enrollment ID: O20211025003276 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Mychal Thompson, MSN, APRN, AGNP-C 1411 Terrace, Magnolia, AR 71753-2040 Ph: (870) 833-1060 | Mr John Mychal Thompson, MSN, APRN, AGNP-C 3002 Moores Ln, Texarkana, TX 75503-2204 Ph: (430) 200-4350 |
Sally A Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3515 Richmond Rd, Texarkana, TX 75503 Phone: 903-791-9355 Fax: 903-831-7273 | |
Virginia Ann Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Ms. Marla Kay English-pickett, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16060 Broadleaf, Texarkana, TX 75503 Phone: 903-838-0031 | |
Laura L Jackson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Caleb Cain, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3510 Richmond Rd, Texarkana, TX 75503 Phone: 903-614-5220 Fax: 903-614-5229 | |
Ms. Michelle Cheri Craft, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3002 Moores Ln, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 833-491-2722 | |
Jamie G Dodd, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5904 Summerfield Dr, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 866-337-1615 |