IndividualActive
Adrian Thacker, FNP-C
NPI 1831548247 · Nurse Practitioner · Duffield, VA
Provider details
- NPI number
- 1831548247
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 0024173601 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
198 Ross Carter Blvd
Duffield, VA 24244-5117
Phone: (276) 690-7161
Fax: (276) 690-7246
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2582
Wise, VA 24293-2582
Registry dates
- Enumerated
- 2016-06-07
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.