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Jackie Thompson

NPI 1063343069 · on the registry since 2026

Practice

Address
1173 Eleventh St
Lakeport, CA 95453
Phone
(707) 954-5169
Clinicians at this address
5

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California