JACLYN BLAIR THORNTON

MEDFORD, OR
NPI1255807087
Former NameJACLYN BLAIR LUCCHESE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: OR  10003878)
Additional Taxonomies363LP2300X Nurse Practitioner, Primary Care
(Licence: SC  22326)
Enumeration Date2018-10-19
Last Update Date2023-03-10
Business Address
JACLYN BLAIR THORNTON NP
PAIN SPECIALIST IT SOUTHERN OREGON 825 BENNETT AVE
MEDFORD, OR 97504
Phone number: 541-779-5228
Mailing Address
JACLYN BLAIR THORNTON NP
9 CLAIRE DR
HILTON HEAD ISLAND, SC 29928-3937
Phone number: 901-485-3766