Individual provider · Type 1 NPI
Faith Thackerson
Family Nurse Practitioner · Knoxville, TN
NPI number
1336087287
Active
Practice location
10321 Kingston Pike Ste 114
Knoxville, TN 37922-3224
Mailing address
416 Copeland St
Clinton, TN 37716-4718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 41438 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1336087287
Faith Thackerson's National Provider Identifier is 1336087287, issued on Mar 23, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Knoxville, TN. The record was last updated on Mar 23, 2026.