Individual
FAITH THACKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10321 KINGSTON PIKE STE 114, KNOXVILLE, TN 37922-3224
(865) 333-6554
Mailing address
416 COPELAND ST, CLINTON, TN 37716-4718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
41438
TN
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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