Nioka Thacker
Community Health Worker in Columbus, OH. Individual provider (NPI-1).
NPI number1265124754
StatusActive
Last updated in NPPESMay 23, 2023
Details
- NPI
- 1265124754
- Entity type
- Individual (NPI-1)
- Name
- Nioka Thacker
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2023
- Certification date
- May 23, 2023
- Last updated
- May 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
527 S High StColumbus, OH 43215-5602
Phone 614-227-9444
Mailing address
1801 Watermark DrColumbus, OH 43215-7088
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