Mr Jerrick Thacker, MSN APRN FNP-C | |
13024 Hesperia Rd, Victorville, CA 92395-8302 | |
(760) 241-3547 | |
Not Available |
Full Name | Mr Jerrick Thacker |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 13024 Hesperia Rd, Victorville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275275307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95020352 (California) | Primary |
Entity Name | Ramin Ashtiani, Md A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538324645 PECOS PAC ID: 1153480991 Enrollment ID: O20081107000309 |
Mailing Address | Practice Location Address |
---|---|
Mr Jerrick Thacker, MSN APRN FNP-C 13024 Hesperia Rd. Suit 103, Victorville, CA 92395 Ph: (760) 241-3547 | Mr Jerrick Thacker, MSN APRN FNP-C 13024 Hesperia Rd, Victorville, CA 92395-8302 Ph: (760) 241-3547 |
Bukola Gross, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13010 Hesperia Rd Ste 501, Victorville, CA 92395 Phone: 760-881-3717 | |
Jessica C Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-241-0393 | |
Mrs. Shawntel Logan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12760 Hesperia Rd Ste C, Victorville, CA 92395 Phone: 760-338-0911 | |
Krystle Ann Frazier, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 | |
Noarie Iverie Magoun, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12677 Hesperia Rd Ste 130, Victorville, CA 92395 Phone: 760-241-7763 Fax: 760-241-6383 | |
Jose Manuel Ortega, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 | |
Cindy Alvarez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11857 Elliot Way, Victorville, CA 92392 Phone: 818-400-5438 |