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JEANNE DIANE THACKER MSN CNS FNP-C NPI 1962479774


NPI Information

NPI: 1962479774
Provider Name: JEANNE DIANE THACKER, MSN CNS, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1050 STATE HIGHWAY 16 S
BANDERA, TX
ZIP 78003
Phone: (830) 796-7713
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Jeanne Diane Thacker, MSN CNS, FNP-C is a family nurse practitioner in Bandera, TX. Jeanne Diane Thacker, MSN CNS, FNP-C NPI is 1962479774. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1050 STATE HIGHWAY 16 S
BANDERA, TX
ZIP 78003-830
Phone: (830) 796-7713

The enumeration date for this NPI number is 3/1/2006 and was last updated on 12/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SA2200XClinical Nurse SpecialistAdult Health573554TEXASNo
2363LF0000XNurse PractitionerFamily573554TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18D0453OTHERMEDICARE PROVIDER NUMBER ISSUED BY CMS 1/2005
21962479774OTHERTEXASNPI
38B4555MEDICARE ID-TYPE UNSPECIFIED
4S64469MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.