Individual provider · Type 1 NPI
Rebecca Thacker, RN
Psychiatric/Mental Health Registered Nurse · Little Rock, AR
NPI number
1972124097
Active
Practice location
6601 W 12th St
Little Rock, AR 72204-1513
Fax (501) 666-6830
Mailing address
PO Box 251970
Little Rock, AR 72225-1970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | R062745 (AR) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | R062745 (AR) |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | R062745 (AR) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1972124097
Rebecca Thacker, RN's National Provider Identifier is 1972124097, issued on Apr 29, 2020. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Little Rock, AR. The record was last updated on Jun 12, 2020.