Individual
CHELSEY THACKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11701 SAN JOSE BLVD STE 108, JACKSONVILLE, FL 32223-0756
(407) 984-7757
Mailing address
11701 SAN JOSE BLVD STE 108, JACKSONVILLE, FL 32223-0756
(407) 984-7757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11008087
FL
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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