Individual
MELISA REBECCA THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
20 MEDICINE CIRCLE, DURHAM, NC 27710-0001
(919) 668-6688
(919) 681-5864
Mailing address
20 MEDICINE CIRCLE, DURHAM, NC 27710-0001
(919) 668-6688
(919) 681-5864
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5023759
NC
Other
Enumeration date
06/05/2025
Last updated
01/10/2026
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