person
Jaclyn R Long, MD
Student in an Organized Health Care Education/Training Program in Anchorage, Alaska
NPI 1881335123

Jaclyn R Long is a Student in an Organized Health Care Education/Training Program based in Portland, AK. Jaclyn R Long practices in Anchorage, AK and has the professional credentials of MD. The NPI Number for Jaclyn R Long is 1881335123 and holds a License No. (Alaska).

The current practice location address for Jaclyn R Long is 1201 E 36Th Ave, Anchorage, AK and can be reached out via phone at 907-562-9229 and via fax at 907-562-1603.

Location: 1201 E 36Th Ave, Anchorage, AK, 97208-4105
person
Provider Profile Details
NPI Number
1881335123
Provider Name
Jaclyn R Long
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1201 E 36Th Ave, Anchorage, AK, 97208-4105
Phone Number
907-562-9229
Fax Number
907-562-1603
Provider Enumeration Date
04/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1201 E 36Th Ave
City
State
Zip
99508-4372
Phone Number
907-562-9229
Fax Number
907-562-1603
person
Provider Business Mailing Address Details
Address
1201 E 36Th Ave
City
State
Zip
99508-4372
Phone Number
907-562-9229
Fax Number
907-562-1603
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Alaska)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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