Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN BLAIR THORNTON, NP
Active Sole ProprietorJACLYN BLAIR THORNTON, NP is a Adolescent Medicine healthcare provider located in MEDFORD, Oregon. NPI 1255807087 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · MEDFORD, OR
Registration Details
- NPI Number
- 1255807087
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2018 (7.7937233063678 yrs)
- Last Updated
- Mar 10, 2023
- Licenses
-
10003878 (OR)22326 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
PAIN SPECIALIST IT SOUTHERN OREGON825 BENNETT AVEMEDFORD, OR, 97504Browse OR providers · Browse ZIP 97504
- Phone
- 5417795228
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Primary Care Nurse Practitioner
Other Adolescent Medicine Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| DR. BRUCE ANTHONY AMES JR. | MD | 1831273689 |
| DR. CHRISTINA HANSEL CELLURA | D.O. | 1225156185 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.