JAMIE THACKER CNP NPI 1710639679

NPI Information

  • NPI: 1710639679
  • Provider Name: JAMIE THACKER, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 278 BARKS RD W
    MARION, OH
    ZIP 43302
  • Phone: (740) 383-7080

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NPI Details

Jamie Thacker, CNP is a family nurse practitioner in Marion, OH with 4 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
1207Q00000XFamily MedicineAPRN.CNP.0030648OHIONo
2363LF0000XNurse PractitionerFamilyAPRN.CNP.0030648OHIOYes

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: 3/30/2025

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