Amanda Lee Thacker, FNP

Family Nurse Practitioner · Leesburg, VA

Individual Active NPI

NPI number 1114621810

Practice location

19450 Deerfield Avenue, Suite 200
Leesburg, VA 20176-6821
Phone
(703) 844-8380
Fax
(703) 263-8393

Open in Google Maps

NPI record

NPI
1114621810
Entity type
Individual (Type 1)
Enumeration date
March 28, 2023
Last updated
March 6, 2024
Certified
March 6, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Family Nurse Practitioner Primary 363LF0000X 0024185322 VA

Mailing address

224-D Cornwall St., NW
Suite 403
Leesburg, VA 20176-2704
Phone
(703) 737-6010
Fax
(703) 443-8643

Other practice locations (1)

  • 3022 Williams Dr Ste 100, Fairfax, VA 22031-4600 · (703) 698-9400

About Amanda Thacker

Amanda Lee Thacker, FNP is a healthcare provider registered in the NPI registry with the primary taxonomy Family Nurse Practitioner (code 363LF0000X). The practice location is 19450 Deerfield Avenue, Suite 200, Leesburg, VA 20176-6821. The NPI number 1114621810 was assigned on March 28, 2023 and the record was last updated on March 6, 2024.

Amanda Thacker lists a license in the registry: #0024185322 (VA) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Lee Thacker, FNP?

The NPI number is 1114621810.

What is the phone number of Amanda Thacker?

The phone number listed for the practice location is (703) 844-8380.

Where is Amanda Thacker located?

19450 Deerfield Avenue, Suite 200, Leesburg, VA 20176-6821.

What is the taxonomy code for Amanda Thacker?

The primary taxonomy code is 363LF0000X – Family Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Family Nurse Practitioner providers in Leesburg

All Family Nurse Practitioner providers in Leesburg, VA →