Thornton, Jaclyn Blair

Thornton, Jaclyn Blair is an sole proprietor health care provider with primary practice located at Pain Specialist It Southern Oregon 825 Bennett Ave, Medford OR 97504. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Thornton, Jaclyn Blair can be contacted via phone (541) 779-5228.

Contact Information

Primary practice address
Pain Specialist It Southern Oregon 825 Bennett Ave Medford OR 97504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 10003878 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 22326 South Carolina

Profile Details

NPI number 1255807087
LBN Legal business name Thornton, Jaclyn Blair
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2018
Last updated Mar 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.

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