Individual provider · Type 1 NPI

Corey Thacker

Independent Duty Corpsman · Jacksonville, FL

NPI number 1235599234 Active

Practice location

6801 Roosevelt Blvd Bldg 938
Jacksonville, FL 32212-1192

Call (407) 325-9229 Map

Mailing address

2828 Cedarcrest Dr
Orange Park, FL 32073-6512

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

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About NPI 1235599234

Corey Thacker's National Provider Identifier is 1235599234, issued on Mar 3, 2016. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 17, 2025.