Individual
JACLYNN MARIE THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
420 W LONGEST ST, PAOLI, IN 47454-8821
(812) 723-3944
Mailing address
420 W LONGEST ST, PAOLI, IN 47454-8821
(812) 723-3944
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011761A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300058325
—
IN
Enumeration date
09/17/2021
Last updated
07/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us