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Jeanne Diane Thacker, MSNCNS,FNP-C
Adult Health Clinical Nurse Specialist in Bandera, Texas
NPI 1962479774

Jeanne Diane Thacker is an Adult Health Clinical Nurse Specialist based in Bandera, TX and is specialized in Adult Health. Jeanne Diane Thacker practices in Bandera, TX and has the professional credentials of MSNCNS,FNP-C. The NPI Number for Jeanne Diane Thacker is 1962479774 and holds a License No. 573554 (Texas).

The current practice location address for Jeanne Diane Thacker is 1050 State Highway 16 S, Bandera, TX and can be reached out via phone at 830-796-7713.

Location: 1050 State Highway 16 S, Bandera, TX, 78003-4830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962479774
Provider Name
Jeanne Diane Thacker
Credential
MSNCNS,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1050 State Highway 16 S, Bandera, TX, 78003-4830
Phone Number
830-796-7713
Fax Number
Provider Enumeration Date
03/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1962479774 01 TX NPI
8D0453 01 MEDICARE PROVIDER NUMBER ISSUED BY CMS 1/2005
institution
Provider Business Practice Location Address Details
Address
1050 State Highway 16 S
City
Bandera
State
Texas
Zip
78003-4830
Phone Number
830-796-7713
Fax Number
person
Provider Business Mailing Address Details
Address
1050 State Highway 16 S
City
Bandera
State
Texas
Zip
78003-4830
Phone Number
830-796-7713
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
573554 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Adult Health
Taxonomy
364SA2200X
License No.
573554 (Texas)
Definition
Definition to come...
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