Thayer, Jacquelyn Marie

Thayer, Jacquelyn Marie is an sole proprietor health care provider with primary practice located at 2006 Bainbridge St Apt 2F , Philadelphia PA 19146-1373. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Thayer, Jacquelyn Marie can be contacted via phone (267) 844-5791.

Contact Information

Primary practice address
2006 Bainbridge St Apt 2F Philadelphia PA 19146-1373
Phone: (267) 844-5791
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 203871 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X THAY-6BQ212 North Carolina

Profile Details

NPI number 1467944199
LBN Legal business name Thayer, Jacquelyn Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2018
Last updated May 30th, 2018 - about 7 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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