Individual provider · Type 1 NPI

Jeremy Robert Thacker, RN

Critical Care Medicine Registered Nurse · Escondido, CA

NPI number 1104713163 Active

Practice location

2185 Citracado Pkwy
Escondido, CA 92029-4159

Mailing address

445 Los Arbolitos Blvd
Oceanside, CA 92058-1529

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X95118366 (CA)

Critical Care Medicine Registered Nurse: Definition to come...

136 other providers at this address

Other critical care medicine registered nurse providers in Escondido

See all in Escondido →

About NPI 1104713163

Jeremy Robert Thacker, RN's National Provider Identifier is 1104713163, issued on Jun 23, 2025. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Escondido, CA. The record was last updated on Jun 23, 2025.