JEANNE DIANE THACKER MSN CNS, FNP-C
NPI 1962479774
Nurse Practitioner - Family in Bandera, TX

Q: What is Jeanne Thacker's NPI number?

The NPI number for Jeanne Thacker is 1962479774. It was assigned to this individual provider in the NPPES registry on March 1, 2006. The provider is also known as Jeanne Diane Thacker-Andrade Msn Cns, Fnp-C.

Q: What is Jeanne Thacker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeanne Thacker was last updated on December 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 01, 2006

1050 STATE HIGHWAY 16 S, BANDERA, TX 78003(830) 796-7713 Get Directions Write a Review

NPPES record last updated: December 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeanne Diane Thacker Msn Cns, Fnp-c NPPES

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

JEANNE DIANE THACKER MSN CNS, FNP-C (NPI 1962479774) is an individual family provider in Bandera, Texas, licensed in Texas (573554) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1962479774

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJEANNE DIANE THACKERCredential: MSN CNS, FNP-C

Location Address1050 STATE HIGHWAY 16 SBandera, TX 78003-4830

Mailing Address1050 State Highway 16 SBandera, TX 78003-4830 · (830) 796-7713

Phone(830) 796-7713

Sole ProprietorNo

Enumeration DateMarch 1, 2006

Last NPPES UpdateDecember 17, 2010

✔ NPI 1962479774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 573554

Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 573554 (TX)

1050 STATE HIGHWAY 16 S, Bandera, TX 78003

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Other Names 1

Former Name (1)Jeanne Diane Thacker-andrade Msn Cns, Fnp-c

Other Identifiers 4

Other8D0453Medicare Provider Number Issued By Cms 1/2005

Other1962479774TX · Npi

Medicare ID-Type Unspecified8B4555

Medicare UPINS64469

Other Providers at the Same Location NPPES

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

JESSE ALLAN BOUTWELL PHYSICIAN ASSISTANT

Physician Assistant (Medical)

1050 STATE HIGHWAY 16 S
BANDERA, TX 78003

Bandera County (830) 261-0684

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 Jeanne Thacker's NPI number?

The NPI number for Jeanne Thacker is 1962479774. It was assigned to this individual provider in the NPPES registry on March 1, 2006. The provider is also known as Jeanne Diane Thacker-Andrade Msn Cns, Fnp-C.

Where is Jeanne Thacker located?

Jeanne Thacker practices at 1050 State Highway 16 S, Bandera, TX 78003. The listed phone number is (830) 796-7713.

What is Jeanne Thacker'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 Jeanne Thacker was last updated on December 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.