Thacker, Tiffany A

Thacker, Tiffany A is an individual health care provider with primary practice located at 13345 Illinois St , Carmel IN 46032-3318. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Thacker, Tiffany A can be contacted via phone (317) 396-1300.

Contact Information

Primary practice address
13345 Illinois St Carmel IN 46032-3318
Phone: (317) 396-1300
Fax: (317) 352-3417
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28178065A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71006785A Indiana

Profile Details

NPI number 1063957033
LBN Legal business name Thacker, Tiffany A
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2016
Last updated Feb 16th, 2024 - 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 1063957033 NPPES
Indiana MEDICAID 300007877

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