Michelle Macey Thacker, NP-C
NPI #1073003588 in Lawrenceville, Illinois
Provider Information
- NPI Number
- 1073003588
- Entity Type
- Individual
- Name
- Michelle Macey Thacker, NP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP-C
- Enumeration Date
- May 10, 2018
- Last Updated
- Apr 20, 2023
Practice Location
- Address
- 2111 LEXINGTON AVE
- City
- Lawrenceville
- State
- Illinois
- ZIP Code
- 62439
- Phone
- (618) 943-7214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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