Individual
JAMIE THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
278 BARKS RD W, MARION, OH 43302-7367
(740) 383-7080
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APRN.CNP.0030648
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0030648
OH
Other
Enumeration date
01/21/2022
Last updated
03/14/2024
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