Individual
JACY FRANCES THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E PLANK RD, ALTOONA, PA 16602-4154
(855) 871-0841
Mailing address
300 E PLANK RD, ALTOONA, PA 16602-4154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP029376
PA
Other
Enumeration date
02/22/2024
Last updated
03/04/2024
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