Dr. Jackie Lynn Yaeger
Family Doctor - Hospice and Palliative Medicine
1615 Maple Ln Ste 1
Ashland
, Wisconsin 54806-3630
Dr. Jackie Lynn Yaeger
Family Doctor - Hospice and Palliative Medicine
1615 Maple Ln Ste 1
Ashland
, Wisconsin 54806-3630
(218) 786-8364
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Jackie Lynn Yaeger
- 400 E 3rd St
- Duluth, MN
- Zip : 55805-1951
- Phone : (218) 786-8364
Second Address
- Dr. Jackie Lynn Yaeger
- 1615 Maple Ln Ste 1
- Ashland, WI
- Zip : 54806-3630
- Phone : (715) 685-7500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 32262-20 | WI |
National Provider Identifier
| NPI | 1144205618 |
|---|---|
| Provider Name | Dr. Jackie Lynn Yaeger |
| First Address | Duluth, MN 55805-1951 |
| Second Address | Ashland, WI 54806-3630 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2005 |
| Last Update Date | 07/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F25316 | (02) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.