Provider Demographics
NPI:1174683346
Name:THOMPSON, JANET KAY (FNP)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:KAY
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:KAY
Other - Last Name:FENDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4720 SUN RUN LN
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-6590
Mailing Address - Country:US
Mailing Address - Phone:916-962-2826
Mailing Address - Fax:
Practice Address - Street 1:729 SUNRISE AVE
Practice Address - Street 2:SUITE 900
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4565
Practice Address - Country:US
Practice Address - Phone:916-781-3387
Practice Address - Fax:916-781-2338
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 292190363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily