Individual provider · Type 1 NPI

Mechele L. Thacker, APRN-CNP

Nurse Practitioner · Charleston, WV

NPI number 1831265107 Active

Practice location

415 Morris St, Suite 201
Charleston, WV 25301-1842

Call (304) 388-7700 Map

Fax (304) 388-7755

Mailing address

415 Morris St 201
Charleston, WV 25301-1853

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X47680 (WV)
Nurse Practitioner Primary 363L00000X47680 (WV)

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 1831265107

Mechele L. Thacker, APRN-CNP's National Provider Identifier is 1831265107, issued on Nov 28, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charleston, WV. The record was last updated on May 17, 2022.