Amanda Lee Thacker
FNP | Nurse Practitioner - Family
19450 Deerfield Avenue, Suite 200, Leesburg
Virginia, 20176-6821
703-844-8380
Amanda Lee Thacker is a Leesburg, Virginia based nurse practitioner who is specialized as Family nurse. Active license number of Amanda Lee Thacker is 0024185322 for Family in Virginia. Her current practice location is 19450 Deerfield Avenue, Suite 200, Leesburg. Patients can reach her at 703-844-8380 or can fax her at 703-263-8393. Amanda Lee Thacker is FNP with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1114621810.
Amanda Lee Thacker delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Amanda Lee Thacker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Amanda Lee Thacker |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | FNP |
| Practice Address: | 19450 Deerfield Avenue, Suite 200, Leesburg,
Virginia, 20176-6821 |
| Phone: | 703-844-8380 |
| Fax: | 703-263-8393 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1114621810 |
| NPI Enumeration Date: | 28 Mar, 2023 |
| NPI Last Update On: | 06 Mar, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amanda Lee Thacker are as mentioned below.
| License Number | Specialization | State | Status | |
| 0024185322 | Family | Virginia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Amanda Lee Thacker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 30017651500001 | Medicaid | Virginia | |
| 1114621810 | Medicaid | Virginia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Amanda Lee Thacker
224-d Cornwall St., Nw, Suite 403
Leesburg, Virginia |
| Zip: | 20176-2704 |
| Phone Number: | 703-737-6010 |
| Fax Number: | 703-443-8643 |
Patients can reach Amanda Lee Thacker at
19450 Deerfield Avenue, Suite 200, Leesburg, Virginia or can
call to book an appointment on 703-844-8380.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.