Individual provider · Type 1 NPI

Jordan Leigh Thackston, FNP-C

Family Nurse Practitioner · Winder, GA

NPI number 1194533711 Active

Practice location

24 Amherst Dr
Winder, GA 30680-7463

Other practice locations

  • 2129 Friendship Rd, Buford, GA 30519-2600 · (770) 209-2787
  • 4038 Winder Hwy, Flowery Branch, GA 30542-3021 · (678) 693-2364

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN287787 (GA)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1194533711

Jordan Leigh Thackston, FNP-C's National Provider Identifier is 1194533711, issued on Dec 28, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Winder, GA. The record was last updated on Dec 28, 2024.