Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn Marie Thayer

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1467944199

Jacquelyn Marie Thayer is a Psychiatric/Mental Health Registered Nurse in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2006 Bainbridge St Apt 2F
Philadelphia, PA 19146-1373
Phone: (267) 844-5791
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence THAY-6BQ212 (NC)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 203871 (NC)

Record details

NPI number1467944199
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 30, 2018
Last updated in NPPESMay 30, 2018

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