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Contact Information

JACLYN B THORNTON, NP
PAIN SPECIALIST IT SOUTHERN OREGON
825 BENNETT AVE
MEDFORD, OR97504
 Phone: 541-779-5228
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JACLYN B THORNTON · (Female)

NPI Number 1255807087
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/19/2018
Last updated 03/10/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 10003878
  • SC License # 22326
Hospital affiliation(s)
  • BEAUFORT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    955 RIBAUT RD
    BEAUFORT, SC 29902
  • COASTAL CAROLINA HOSPITAL - (Acute Care)
    1000 MEDICAL CENTER DRIVE
    HARDEEVILLE, SC 29927
  • HILTON HEAD REGIONAL MEDICAL CENTER - (Acute Care)
    25 HOSPITAL CENTER BLVD
    HILTON HEAD ISLAND, SC 29925
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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