Individual provider · Type 1 NPI

Jaclyn Smith, NP

Nurse Practitioner · Bend, OR

NPI number 1013419530 Active

Practice location

2600 NE Neff Rd
Bend, OR 97701-6337

Fax (541) 706-4806

Mailing address

21215 Dove Ln
Bend, OR 97702-9526

Other practice locations

  • 21215 Dove Ln, Bend, OR 97702-9526 · (541) 233-3872

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X201801521NP-PP (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013419530

Jaclyn Smith, NP's National Provider Identifier is 1013419530, issued on Feb 28, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bend, OR. The record was last updated on Apr 16, 2026.