Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thackerville Medical Clinic

Organization Family Nurse Practitioner · NPI 1518282185

Thackerville Medical Clinic is a Family Nurse Practitioner in Thackerville, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010

Practice location Address checks out

11530 Ridge Rd Ste 1
Thackerville, OK 73459-9771
Phone: (580) 276-9066
Fax: (580) 276-9063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R0096598 (OK)

Record details

NPI number1518282185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dana Sprott — Nurse Practitioner/Owner · (940) 366-0180
NPI enumeratedApril 7, 2010
Last updated in NPPESApril 12, 2012
Mailing address11530 Ridge Rd Ste 1, Thackerville, OK 73459-9771

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