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

MR. JERRICK THACKER, MSN APRN FNP-C

Active Sole Proprietor

MR. JERRICK THACKER, MSN APRN FNP-C is a Nurse Practitioner healthcare provider located in VICTORVILLE, California. NPI 1275275307 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · VICTORVILLE, CA

Registration Details

NPI Number
1275275307
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2022 (4.3665152136611 yrs)
Last Updated
Apr 25, 2022
License
95020352 (CA)
Sole Proprietor
Yes

Practice Information

Address
13024 HESPERIA RD
VICTORVILLE, CA, 923958302
Browse CA providers · Browse ZIP 92395
Phone
7602413547
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in VICTORVILLE, CA

Name Credential NPI
MS. ELAINE ELIZABETH MILLER FNP-RN 1114230398
THAO NGOC LE NP 1467741298
ROSE MWANGI NP 1609159565
CHRISTINA CASTILLO NP 1386914729
ISABELLE GUIANG MSN, CPN, NP-C 1790049146
JOSE MANUEL ORTEGA NP 1043697378
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.