Individual provider · Type 1 NPI
Tricia W. Thackston, RN, NP-C
Primary Care Nurse Practitioner · Atlanta, GA
NPI number
1801136593
Active
Practice location
720 Westview Dr SW
Atlanta, GA 30310-1458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | RN154255 (GA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | RN154255 (GA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1801136593
Tricia W. Thackston, RN, NP-C's National Provider Identifier is 1801136593, issued on Feb 18, 2013. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Atlanta, GA. The record was last updated on Feb 18, 2013.