Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE MACEY THACKER, NP-C
ActiveMICHELLE MACEY THACKER, NP-C is a Nurse Practitioner healthcare provider located in LAWRENCEVILLE, Illinois. NPI 1073003588 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · LAWRENCEVILLE, IL
Registration Details
- NPI Number
- 1073003588
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 10, 2018 (8.2412326805049 yrs)
- Last Updated
- Apr 20, 2023
- Licenses
-
209017621 (IL)71010904A (IN)
Practice Information
- Address
-
2111 LEXINGTON AVELAWRENCEVILLE, IL, 62439Browse IL providers · Browse ZIP 62439
- Phone
- 6189437214
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in LAWRENCEVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| ASHLEY R KEEPES | PMHNP-BC | 1285326025 |
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.