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

Jerusha Thacker

Individual provider Case Manager/Care Coordinator · NPI 1194107821

Jerusha Thacker is a Case Manager/Care Coordinator in Daytona Beach, Florida. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

259 Bill France Blvd Ste 200
Daytona Beach, FL 32174
Phone: (386) 868-1992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1194107821
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 18, 2015
Last updated in NPPESJune 18, 2015
Mailing address510 S. Beach Street Apt 1, Ormond Beach, FL 32174

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