Corey, Jacquelyn

Corey, Jacquelyn is an individual health care provider with primary practice located at 2650 Suzanne Way Suite 160, Eugene OR 97408-7319. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health. Nursing Service Providers / Case Management is her primary health care specialty. Corey, Jacquelyn can be contacted via phone (541) 228-3020.

Contact Information

Primary practice address
2650 Suzanne Way Suite 160 Eugene OR 97408-7319
Phone: (541) 228-3020
Fax: (541) 228-3181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 00033398 Oregon
Nursing Service Providers / Registered Nurse 163W00000X Oregon
Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health 364SC1501X Oregon

Profile Details

NPI number 1568666212
LBN Legal business name Corey, Jacquelyn
Credentials RN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568666212 NPPES
Oregon Other 00033398 CCM

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