JAMIE THACKER

MISHAWAKA, IN
NPI1548998131
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28202077A)
Enumeration Date2022-08-11
Last Update Date2023-11-30
Business Address
JAMIE THACKER
4630 VISTULA RD
MISHAWAKA, IN 46544-4000
Phone number: 574-647-1900
Mailing Address
JAMIE THACKER
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-2129
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