Dea Thacker, NP is a family nurse practitioner in Jefferson City, TN. Dea Thacker, NP NPI is 1578169090. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
277 E BROADWAY BLVD
JEFFERSON CITY, TN
ZIP 37760-810
Phone: (865) 262-9294
Fax: (865) 262-9295
The NPI 1578169090 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/9/2020 and was last updated on 12/9/2020.