| Cheryl Nicole Thacker, AGPCNP-BC | |
|
4866 Big Island Dr Unit 5, Jacksonville, FL 32246-5301 | |
| (904) 652-0652 | |
| Not Available |
| Full Name | Cheryl Nicole Thacker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 4866 Big Island Dr Unit 5, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336972264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11034425 (Florida) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 11034425 (Florida) | Secondary |
| Entity Name | Cardiorenal Therapeutics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457917304 PECOS PAC ID: 7416280425 Enrollment ID: O20190606001295 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Nicole Thacker, AGPCNP-BC 4866 Big Island Dr Unit 5, Jacksonville, FL 32246-5301 Ph: (904) 652-0652 | Cheryl Nicole Thacker, AGPCNP-BC 4866 Big Island Dr Unit 5, Jacksonville, FL 32246-5301 Ph: (904) 652-0652 |
Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844 | |
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395 | |
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832 | |
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080 | |
Mr. Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3728 Philips Hwy Ste 34, Jacksonville, FL 32207 Phone: 904-399-2766 Fax: 904-549-8300 |