JAMIE THACKER CNP NPI 1710639679

NPI Information

NPI: 1710639679
Provider Name: JAMIE THACKER, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
278 BARKS RD W
MARION, OH
ZIP 43302
Phone: (740) 383-7080
Get Directions

Jamie Thacker, CNP is a family nurse practitioner in Marion, OH with 3 years of experience. Jamie Thacker, CNP NPI is 1710639679. 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:

278 BARKS RD W
MARION, OH
ZIP 43302-367
Phone: (740) 383-7080

The NPI 1710639679 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 1/21/2022 and was last updated on 3/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		APRN.CNP.0030648	OHIO	No
2	363LF0000X	Nurse Practitioner	Family	APRN.CNP.0030648	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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