Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELSEY MARIE THACKER
ActiveKELSEY MARIE THACKER is a Nurse Practitioner healthcare provider located in MT ZION, Illinois. NPI 1245765296 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · MT ZION, IL
Registration Details
- NPI Number
- 1245765296
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2017 (9.1551243898052 yrs)
- Last Updated
- Apr 27, 2017
- License
-
209015926 (IL)
Practice Information
- Address
-
104 E ASHLAND AVEMT ZION, IL, 625491271Browse IL providers · Browse ZIP 62549
- Phone
- 2178642665
- Fax
- 2178648042
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in MT ZION, IL
| Name | Credential | NPI |
|---|---|---|
| KIM MILLER | APN/CNP | 1285638262 |
| JOSEPH THOMAS MEYERS | MSN, APN, FNP-C | 1730767112 |
| MADDISON RAE MAXEDON | APRN | 1629862982 |
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.