Search › Tennessee › 363LF0000X
Michael Thacker, FNP-C
NPI 1205399508 · on the registry since 2019
Practice
- Address
- 403 Princeton Rd Ste 3
Johnson City, TN 37601 - Phone
- (423) 302-3681
- Fax
- (423) 302-3689
- Organisation at this address
- Allergy Associates Pa
Southern Orthocare Inc
Wellspring Healthcare, Pllc
Allen Allied Healthcare Inc.
Blue Ridge Medical Management CorpoartionInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Additional practice sites
- 100 Clinchfield St, Kingsport, TN
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- TN, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee