Individual
CHRISTIE ROSE THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
281 N LYERLY ST STE 300, CHATTANOOGA, TN 37404-2748
(423) 693-2175
Mailing address
281 N LYERLY ST STE 300, CHATTANOOGA, TN 37404-2748
(423) 693-2175
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16714
TN
Other
Enumeration date
11/10/2012
Last updated
05/17/2024
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