Individual provider · Type 1 NPI

Michelle Macey Thacker, NP-C

Nurse Practitioner · Lawrenceville, IL

NPI number 1073003588 Active

Practice location

2111 Lexington Ave
Lawrenceville, IL 62439

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X209017621 (IL)
Nurse Practitioner Primary 363L00000X71010904A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

13 other providers at this address

About NPI 1073003588

Michelle Macey Thacker, NP-C's National Provider Identifier is 1073003588, issued on May 10, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lawrenceville, IL. The record was last updated on Apr 20, 2023.