Michael David Thacker
FNP-C | Nurse Practitioner - Family
403 Princeton Rd Ste 3, Johnson City
Tennessee, 37601-2040
423-302-3681
Michael David Thacker is a Johnson City, Tennessee based nurse practitioner who is specialized as Family NP. Active license number of Michael David Thacker is 25386 for Family NP in Tennessee. His current practice location is 403 Princeton Rd Ste 3, Johnson City. Patients can reach him at 423-302-3681 or can fax him at 423-302-3689. Michael David Thacker is FNP-C with specialization in Family NP and his NPI number (Unique professional ID assigned by NPPES) is 1205399508.
Michael David Thacker delivers family-focused care which means he 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:
Michael David 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: | Michael David Thacker |
| Specialization: | Nurse Practitioner - Family (FNP) |
| Gender: | Male |
| Credentials: | FNP-C |
| Practice Address: | 403 Princeton Rd Ste 3, Johnson City,
Tennessee, 37601-2040 |
| Phone: | 423-302-3681 |
| Fax: | 423-302-3689 |
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: | 1205399508 |
| NPI Enumeration Date: | 12 Apr, 2019 |
| NPI Last Update On: | 05 May, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael David Thacker are as mentioned below.
| License Number | Specialization | State | Status | |
| 25386 | Family NP | Tennessee | Primary | |
| 00241777354 | Family NP | Virginia | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Michael David Thacker
1021 W Oakland Ave Ste 310,
Johnson City, Tennessee |
| Zip: | 37604-2192 |
| Phone Number: | 423-952-2111 |
Patients can reach Michael David Thacker at
403 Princeton Rd Ste 3, Johnson City, Tennessee or can
call to book an appointment on 423-302-3681.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.