Jacquelyn Marie Thayer
Jacquelyn Marie Thayer is a Psychiatric/Mental Health Registered Nurse in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
2006 Bainbridge St Apt 2FPhiladelphia, PA 19146-1373
Phone: (267) 844-5791
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence THAY-6BQ212 (NC) |
|---|---|
| Psychiatric/Mental Health Registered Nurse | Taxonomy 163WP0808X · Licence 203871 (NC) |
Record details
| NPI number | 1467944199 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 30, 2018 |
| Last updated in NPPES | May 30, 2018 |
| Mailing address | 2006 Bainbridge St Apt 2f, Philadelphia, PA 19146-1373 |
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