Individual
MRS. JACLYN TERESA THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
565 EGG HARBOR RD, SEWELL, NJ 08080-2335
(844) 542-2273
Mailing address
8 STACY CT, SEWELL, NJ 08080-1722
(208) 954-2413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00965900
NJ
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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