Jaclyn M Hughley (NPI# 1023423126, PAC ID# 2668691890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1023423126 |
PAC ID by PECOS | 2668691890 |
Professional Enrollment ID | I20150903002298 |
Full Name | Jaclyn M Hughley |
Organization Legal Name | THE DULUTH CLINIC LTD |
Address |
4621 E Superior St Duluth MN 55804-2338 |
Phone Number | 2187863550 |
Gender | F |
Graduation Year | 2014 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2567374283 |
Number of Group Practice Members | 802 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
240019 | ESSENTIA HEALTH DULUTH |
Address | Phone | Organization |
---|---|---|
4621 E Superior St, Duluth, MN 55804-2338 | 2187863550 | THE DULUTH CLINIC LTD |
Organization Legal Name | THE DULUTH CLINIC LTD |
Physicians | 754 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kate Jane Pelant | Nurse Practitioner | The Duluth Clinic Ltd | 211 S Boundary Ave, Proctor, MN 55810-2306 |
Amos James Restad | Nurse Practitioner | The Duluth Clinic Ltd | 4212 Grand Ave, Duluth, MN 55807-2737 |
Kirsten Ma Indrelie | Obstetrics/gynecology | The Duluth Clinic Ltd | 901 9th St N, Virginia, MN 55792-2325 |
Mary F Hunt | Physical Therapy | The Duluth Clinic Ltd | 1542 Golf Course Rd, Suite 204, Grand Rapids, MN 55744-3537 |
Dane Mcgee Ingebrigtson | Anesthesiology | The Duluth Clinic Ltd | 3500 Tower Ave, Superior, WI 54880-5335 |
Katherine Merriweather Munck | Internal Medicine | The Duluth Clinic Ltd | 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 |
Ekaterine Vladimirovna Mchenry | Certified Registered Nurse Anesthetist (crna) | The Duluth Clinic Ltd | 400 1st Ave Sw, Chisholm, MN 55719-2081 |
Joni Kay Ohman | Nurse Practitioner | The Duluth Clinic Ltd | 2202 E 2nd St, Suite 377, Superior, WI 54880-3778 |
Ala Addin H Kandeel | Allergy/immunology | The Duluth Clinic Ltd | 407 E 3rd St, Duluth, MN 55805-1950 |
Gidget Peterson | Physician Assistant | The Duluth Clinic Ltd | 603 9th St N, Virginia, MN 55792-2319 |
Street Address |
4621 E SUPERIOR ST |
City | DULUTH |
State | MN |
Zip | 55804-2338 |
Name | Specialty | Organization | Address |
---|---|---|---|
Livingstone C Igwe | Family Medicine | The Duluth Clinic Ltd | 4621 E Superior St, Duluth, MN 55804-2338 |
Hugh Patrick Renier | Family Practice | The Duluth Clinic Ltd | 4621 E Superior St, Duluth, MN 55804-2338 |
Nicholas Eliah Navarro | Clinical Social Worker | The Duluth Clinic Ltd | 4621 E Superior St, Duluth, MN 55804-2338 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa J Janzen | Chiropractic | 4731 E Superior St, Duluth, MN 55804-2339 | |
Rachel Gabrielle Ashford | Clinical Social Worker | 5107 E Superior St, Duluth, MN 55804-2475 | |
Christopher L Baumbach | Family Medicine | St Lukes Hospital of Duluth | 6351 E Superior St, Duluth, MN 55804-2545 |
Susan M Goltz | Obstetrics/gynecology | St Lukes Hospital of Duluth | 6351 E Superior St, Duluth, MN 55804-2545 |
City | DULUTH |
Zip Code | 55804 |
Specialty | NURSE PRACTITIONER |
City + Specialty | DULUTH + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.