Thacker, Janet Lynn

Thacker, Janet Lynn is an individual health care provider with primary practice located at 1101 S Main St , Kernersville NC 27284-7478. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thacker, Janet Lynn can be contacted via phone (336) 996-4021.

Contact Information

Primary practice address
1101 S Main St Kernersville NC 27284-7478
Phone: (336) 996-4021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004244 North Carolina

Profile Details

NPI number 1609011238
LBN Legal business name Thacker, Janet Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2008
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609011238 NPPES
North Carolina MEDICAID 7004289

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