Individual
EMILY M JAKSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-8400
(541) 222-8401
Mailing address
200 HAWKINS DRIVE, NEUROLOGY CLINIC, IOWA CITY, IA 52240
(319) 353-7131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
202004567NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
202004567NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
H124117
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R222420
—
OR
Enumeration date
10/13/2015
Last updated
04/28/2023
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