Corey, Jacquelyn
Corey, Jacquelyn is an individual health care provider with primary practice located at 2650 Suzanne Way Suite 160, Eugene OR 97408-7319. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Corey, Jacquelyn can be contacted via phone (541) 228-3020.Contact Information
Primary practice address
2650 Suzanne Way Suite 160
Eugene OR 97408-7319
Phone: (541) 228-3020
Fax: (541) 228-3181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | 00033398 | Oregon |
| Nursing Service Providers / Registered Nurse | 163W00000X | Oregon | |
| Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health | 364SC1501X | Oregon |
Profile Details
| NPI number | 1568666212 |
|---|---|
| LBN Legal business name | Corey, Jacquelyn |
| Credentials | RN, CNS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Sep 11th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568666212 | NPPES |
| Oregon | Other | 00033398 | CCM |
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