Jada Love Thompson

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

905703 Issued in MS

Practice address

505 Bristol Way
Brandon, MS 39047-7726

Phone

(901) 239-5176

NPI assigned

Mar 21, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1477255461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BRISTOL WAY",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BRISTOL WAY",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477726",
            "telephone_number": "901-239-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JADA",
        "middle_name": "LOVE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "905703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Winning Smile, Inc.
• Lisa Thomas-Pam, M.A.
• Bianca Shanygnea' Thomas
• Lori Thomas
• Shelby Sirmon Thomas, NP
• Kaneesha Thompson, SLP
• Raven V Thompson, MS, PCMHT
• Kimberly Ann Thornton, RPH
• Laurie Heather Thornton, CFNP
• Myisha Thurman

• Gerontology Nurse Practitioner in Brandon, MS
• Providers in Brandon, MS by specialty
• Gerontology Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.