Luckman, Jessica Lynn

Luckman, Jessica Lynn is an individual health care provider with primary practice located at 940 Royal Ave Ste 350, Medford OR 97504-6193. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Luckman, Jessica Lynn can be contacted via phone (541) 732-7460.

Contact Information

Primary practice address
940 Royal Ave Ste 350 Medford OR 97504-6193
Phone: (541) 732-7460
Fax: (541) 732-7461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 201400211NP-PP Oregon

Profile Details

NPI number 1750703559
LBN Legal business name Luckman, Jessica Lynn
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2014
Last updated Mar 19th, 2021 - about 4 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 1750703559 NPPES
Oregon MEDICAID 500667248

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