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

Jeremy Robert Thacker, RN

Individual provider Critical Care Medicine Registered Nurse · NPI 1104713163

Jeremy Robert Thacker, RN is a Critical Care Medicine Registered Nurse in Escondido, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone: (442) 281-5000
Show map & directions

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

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 95118366 (CA)

Record details

NPI number1104713163
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 22, 2025
Mailing address445 Los Arbolitos Blvd, Oceanside, CA 92058-1529

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