Luciano, Jaclyn

Luciano, Jaclyn is an individual health care provider with primary practice located at 1000 Health Center Dr , Mattoon IL 61938-4644. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Luciano, Jaclyn can be contacted via phone (217) 258-2440.

Contact Information

Primary practice address
1000 Health Center Dr Mattoon IL 61938-4644
Phone: (217) 258-2440
Fax: (217) 258-2186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 11697-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209-027772 Illinois
Nursing Service Providers / Registered Nurse 163W00000X RN0000206203 Tennessee

Profile Details

NPI number 1609546498
LBN Legal business name Luciano, Jaclyn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2021
Last updated Oct 10th, 2023 - about 2 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.

Request for update

Popular Providers