Thacker, Mechele L.

Thacker, Mechele L. is an individual health care provider with primary practice located at 415 Morris St Suite 201, Charleston WV 25301-1842. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Thacker, Mechele L. can be contacted via phone (304) 388-7700.

Contact Information

Primary practice address
415 Morris St Suite 201 Charleston WV 25301-1842
Phone: (304) 388-7700
Fax: (304) 388-7755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 47680 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 47680 West Virginia

Profile Details

NPI number 1831265107
LBN Legal business name Thacker, Mechele L.
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated May 17th, 2022 - about 2 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 1831265107 NPPES
West Virginia MEDICAID 3810007981

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