JERUSHA THACKER

Case Manager/Care Coordinator

Active Individual
NPI: 1194107821

Practice Address

259 BILL FRANCE BLVD. STE 200
Daytona Beach, FL 32174

Phone: (386) 868-1992

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1194107821 is the National Provider Identifier for JERUSHA THACKER, a Case Manager/Care Coordinator provider located in Daytona Beach, FL. This NPI was enumerated on June 18, 2015.
JERUSHA THACKER practices at 259 BILL FRANCE BLVD. STE 200, Daytona Beach, FL 32174.

Quick Facts

NPI
1194107821
Type
Individual
Enumerated
Jun 18, 2015
Last Updated
Jun 18, 2015

Nearby Providers