Kelsey Marie Thacker
Nurse Practitioner · Mt Zion, IL
Practice location
104 E Ashland AveMt Zion, IL 62549-1271
- Phone
- (217) 864-2665
- Fax
- (217) 864-8042
NPI record
- NPI
- 1245765296
- Entity type
- Individual (Type 1)
- Enumeration date
- April 27, 2017
- Last updated
- April 27, 2017
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
209015926 | IL |
Mailing address
104 Ashland AvenueMt. Zion, IL 62549
- Phone
- (217) 864-2665
- Fax
- (217) 864-8042
About Kelsey Thacker
Kelsey Marie Thacker is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 104 E Ashland Ave, Mt Zion, IL 62549-1271. The NPI number 1245765296 was assigned on April 27, 2017 and the record was last updated on April 27, 2017.
Kelsey Thacker lists a license in the registry: #209015926 (IL) for 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 Kelsey Marie Thacker?
The NPI number is 1245765296.
What is the phone number of Kelsey Thacker?
The phone number listed for the practice location is (217) 864-2665.
Where is Kelsey Thacker located?
104 E Ashland Ave, Mt Zion, IL 62549-1271.
What is the taxonomy code for Kelsey Thacker?
The primary taxonomy code is 363L00000X – 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 Nurse Practitioner providers in Mt Zion
- Kim Miller, APN/CNP1200 N State Highway 121
- Maddison Rae Maxedon, APRN104 E Ashland Ave
- Joseph Thomas Meyers, MSN, APN, FNP-C104 E Ashland Ave