person
Dea Thacker, NP
Family Nurse Practitioner in Jefferson City, Tennessee
NPI 1578169090

Dea Thacker is a Family Nurse Practitioner based in Mooresburg, TN and is specialized in Family. Dea Thacker practices in Jefferson City, TN and has the professional credentials of NP. The NPI Number for Dea Thacker is 1578169090 and holds a License No. 26209 (Tennessee).

The current practice location address for Dea Thacker is 277 E Broadway Blvd, Jefferson City, TN and can be reached out via phone at 865-262-9294 and via fax at 865-262-9295.

Location: 277 E Broadway Blvd, Jefferson City, TN, 37811-2318
person
Provider Profile Details
NPI Number
1578169090
Provider Name
Dea Thacker
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
277 E Broadway Blvd, Jefferson City, TN, 37811-2318
Phone Number
865-262-9294
Fax Number
865-262-9295
Provider Enumeration Date
12/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
277 E Broadway Blvd
City
State
Zip
37760-2810
Phone Number
865-262-9294
Fax Number
865-262-9295
person
Provider Business Mailing Address Details
Address
277 E Broadway Blvd
City
State
Zip
37760-2810
Phone Number
865-262-9294
Fax Number
865-262-9295
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
26209 (Tennessee)
Definition
Definition to come...
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