Thacker, Jerrick

Thacker, Jerrick is an sole proprietor health care provider with primary practice located at 13024 Hesperia Rd , Victorville CA 92395-8302. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Thacker, Jerrick can be contacted via phone (760) 241-3547.

Contact Information

Primary practice address
13024 Hesperia Rd Victorville CA 92395-8302
Phone: (760) 241-3547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95020352 California

Profile Details

NPI number 1275275307
LBN Legal business name Thacker, Jerrick
Credentials MSN APRN FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2022
Last updated Apr 25th, 2022 - about 3 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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