CHELSEY THACKSTON NP
NPI 1225619745
Nurse Practitioner - Family in Jacksonville, FL

Active since April 16, 2021
11701 SAN JOSE BLVD STE 108, JACKSONVILLE, FL 32223(407) 984-7757 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chelsey Thackston Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHELSEY THACKSTON NP (NPI 1225619745) is an individual family provider in Jacksonville, Florida, licensed in Florida (11008087) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1225619745
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHELSEY THACKSTONCredential: NP
Location Address11701 SAN JOSE BLVD STE 108Jacksonville, FL 32223-0756
Mailing Address11701 San Jose Blvd Ste 108Jacksonville, FL 32223-0756 · (407) 984-7757
Sole ProprietorYes
Enumeration DateApril 16, 2021
NPPES CertifiedApril 16, 2021
NPI 1225619745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 11008087
11701 SAN JOSE BLVD STE 108, Jacksonville, FL 32223

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
11701 SAN JOSE BLVD STE 108
JACKSONVILLE, FL 32223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chelsey Thackston's NPI number?

The NPI number for Chelsey Thackston is 1225619745. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Chelsey Thackston located?

Chelsey Thackston practices at 11701 San Jose Blvd Ste 108, Jacksonville, FL 32223. The listed phone number is (407) 984-7757.

What is Chelsey Thackston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Chelsey Thackston was last updated on April 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.