Individual provider · Type 1 NPI

Cheryl Nicole Thacker, AGPCNP-BC

Nurse Practitioner · Jacksonville, FL

NPI number 1336972264 Active

Practice location

4866 Big Island Dr Unit 5
Jacksonville, FL 32246-5301

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	11034425 (FL)
Primary Care Nurse Practitioner	363LP2300X	11034425 (FL)

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…

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About NPI 1336972264

Cheryl Nicole Thacker, AGPCNP-BC's National Provider Identifier is 1336972264, issued on Aug 26, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 26, 2024.