Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STACY ANN THACKER-NEWSOME, MA, LBD
ActiveMRS. STACY ANN THACKER-NEWSOME, MA, LBD is a Specialist healthcare provider located in BORDEN, Indiana. NPI 1043686595 is currently active in the NPPES registry. Verify at CMS.
Specialist · BORDEN, IN
Registration Details
- NPI Number
- 1043686595
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2015 (10.977373273068 yrs)
- Last Updated
- Aug 19, 2015
Practice Information
- Address
-
15903 STATE ROAD 60BORDEN, IN, 471068629Browse IN providers · Browse ZIP 47106
- Phone
- 6068311020
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.