Coralee M. Thacker-thompson
PNP | Nurse Practitioner - Pediatrics
104 East Highway 60, Mountain View
Missouri, 65548
417-934-2251
Coralee M. Thacker-thompson is a Mountain View, Missouri based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Coralee M. Thacker-thompson is 045482 for Pediatrics in Missouri. Her current practice location is 104 East Highway 60, Mountain View. Patients can reach her at 417-934-2251 or can fax her at 417-934-2871. Coralee M. Thacker-thompson is PNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1780766618.
Coralee M. Thacker-thompson specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Coralee M. Thacker-thompson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Coralee M. Thacker-thompson |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | PNP |
| Practice Address: | 104 East Highway 60, Mountain View,
Missouri, 65548 |
| Phone: | 417-934-2251 |
| Fax: | 417-934-2871 |
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: | 1780766618 |
| NPI Enumeration Date: | 19 Oct, 2006 |
| NPI Last Update On: | 15 Jul, 2008 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Coralee M. Thacker-thompson are as mentioned below.
| License Number | Specialization | State | Status | |
| 045482 | Pediatrics | Missouri | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Coralee M. Thacker-thompson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 426765103 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Coralee M. Thacker-thompson
Po Box 2580,
Springfield, Missouri |
| Zip: | 65801-2580 |
| Phone Number: | 417-829-4620 |
| Fax Number: | 417-829-4316 |
Patients can reach Coralee M. Thacker-thompson at
104 East Highway 60, Mountain View, Missouri or can
call to book an appointment on 417-934-2251.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.