Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEANDRA MARISSAH THOMPSON, PA
Active Sole ProprietorDEANDRA MARISSAH THOMPSON, PA is a Physician Assistant healthcare provider located in FAIRFIELD, Illinois. NPI 1134877939 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FAIRFIELD, IL
Registration Details
- NPI Number
- 1134877939
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 11, 2022 (4.4420431119762 yrs)
- Last Updated
- Mar 11, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
303 NW 11TH STFAIRFIELD, IL, 628371206Browse IL providers · Browse ZIP 62837
- Phone
- 6188422611
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FAIRFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| KENNETH J SCHWEISS | P.A. | 1093712622 |
| MATTHEW DEAN BROWN | PA-C | 1184190829 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.