Individual provider · Type 1 NPI
Jeanne Diane Thacker, MSN CNS, FNP-C
Family Nurse Practitioner · Bandera, TX
NPI number
1962479774
Active
Practice location
1050 State Highway 16 S
Bandera, TX 78003-4830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 573554 (TX) |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 573554 (TX) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1962479774
Jeanne Diane Thacker, MSN CNS, FNP-C's National Provider Identifier is 1962479774, issued on Mar 1, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bandera, TX. The record was last updated on Dec 17, 2010.