Individual provider · Type 1 NPI
Jacquelyn Marie Thayer
Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA
NPI number
1467944199
Active
Practice location
2006 Bainbridge St Apt 2F
Philadelphia, PA 19146-1373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 203871 (NC) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | THAY-6BQ212 (NC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1467944199
Jacquelyn Marie Thayer's National Provider Identifier is 1467944199, issued on May 30, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on May 30, 2018.