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Ashley Lilly Thacker, FNP-C
Family Nurse Practitioner in South Charleston, West Virginia
NPI 1679084628

Ashley Lilly Thacker is a Family Nurse Practitioner based in Scott Depot, WV and is specialized in Family. Ashley Lilly Thacker practices in South Charleston, WV and has the professional credentials of FNP-C. The NPI Number for Ashley Lilly Thacker is 1679084628 and holds a License No. APRN71553-NP-C (West Virginia).

The current practice location address for Ashley Lilly Thacker is 4605 Maccorkle Ave Sw, South Charleston, WV and can be reached out via phone at 304-766-5650.

Location: 4605 Maccorkle Ave Sw, South Charleston, WV, 25560-9534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679084628
Provider Name
Ashley Lilly Thacker
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
4605 Maccorkle Ave Sw, South Charleston, WV, 25560-9534
Phone Number
304-766-5650
Fax Number
Provider Enumeration Date
10/17/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4605 Maccorkle Ave Sw
City
South Charleston
State
West Virginia
Zip
25309-1311
Phone Number
304-766-5650
Fax Number
person
Provider Business Mailing Address Details
Address
4605 Maccorkle Ave Sw
City
South Charleston
State
West Virginia
Zip
25309-1311
Phone Number
304-766-5650
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN71553-NP-C (West Virginia)
Definition
Definition to come...
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