P Praxis·MD
● Active Type 1 · Individual

Jeanne Diane Thacker, MSN CNS, FNP-C

Nurse Practitioner·Bandera, TX· NPI 1962479774 · Enumerated 2006 · 20 years on NPI
Thacker is 1 of 9 nurse practitioner providers in Bandera and 1 of 22123 in Texas.
NPI age
20 years
Enumerated 2006-03-01
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-12-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
20 years
↑ 13 yr above median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Practice location
1050 State Highway 16 S
Bandera, TX 780034830
📞 8307967713
Mailing address
1050 State Highway 16 S
Bandera, TX 780034830
📞 8307967713

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #573554 taxonomy 363LF0000X
  • Clinical Nurse Specialist
    Definition to come...
    TX license #573554 taxonomy 364SA2200X

Identifiers

TypeValueNotes
01 (TX) 1962479774 NPI
01 8D0453 MEDICARE PROVIDER NUMBER ISSUED BY CMS 1/2005

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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