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

Corey Thacker

Individual provider Independent Duty Corpsman · NPI 1235599234

Corey Thacker is an Independent Duty Corpsman in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

6801 Roosevelt Blvd Bldg 938
Jacksonville, FL 32212-1192
Phone: (407) 325-9229
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1235599234
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 3, 2016
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025
Mailing address2828 Cedarcrest Dr, Orange Park, FL 32073-6512

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