Individual
MS. JACQUELYN COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
2650 SUZANNE WAY, SUITE 160, EUGENE, OR 97408-7319
(541) 228-3020
(541) 228-3181
Mailing address
2650 SUZANNE WAY, SUITE 160, EUGENE, OR 97408-7319
(541) 228-3020
(541) 228-3181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
OR
163WC0400X
Case Management Registered Nurse
00033398
OR
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00033398
CCM
OR
Enumeration date
06/14/2007
Last updated
09/11/2025
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