Jaksich, Emily M

Jaksich, Emily M is an individual health care provider with primary practice located at 3377 Riverbend Dr , Springfield OR 97477-8803. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Jaksich, Emily M can be contacted via phone (541) 222-8400.

Contact Information

Primary practice address
3377 Riverbend Dr Springfield OR 97477-8803
Phone: (541) 222-8400
Fax: (541) 222-8401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 202004567NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X H124117 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 202004567NP-PP Oregon

Profile Details

NPI number 1336510635
LBN Legal business name Jaksich, Emily M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2015
Last updated Apr 28th, 2023 - about last year

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 1336510635 NPPES
Oregon MEDICAID R222420

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