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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL DAVID THACKER, FNP-C

Active

MICHAEL DAVID THACKER, FNP-C is a Family Nurse Practitioner healthcare provider located in KINGSPORT, Tennessee. NPI 1205399508 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · KINGSPORT, TN

Registration Details

NPI Number
1205399508
Provider Type
Individual
Gender
Male
NPI Issued
Apr 12, 2019 (7.3647619211671 yrs)
Last Updated
Mar 20, 2025
Licenses
00000193250 (TN)
00241777354 (VA)

Practice Information

Address
100 CLINCHFIELD ST
KINGSPORT, TN, 376603681
Browse TN providers · Browse ZIP 37660
Phone
4232477111
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in KINGSPORT, TN

Name Credential NPI
MS. JANET CRADIC F.N.P. 1497758551
MR. CHRISTOPHER MORELOCK FNP 1245233956
MYRA WATTS FNP 1417959727
MITZI DANIELA MUSICK ANP 1780686865
MS. LINDA QUALLS FNP 1477557015
MRS. CATHERINE M RAFF FNP 1578567004
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.