Potts, Jaclyn Suzanne

Potts, Jaclyn Suzanne is an individual health care provider with primary practice located at 2002 12Th Ave Nw Ste C , Ardmore OK 73401-1206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Potts, Jaclyn Suzanne can be contacted via phone (405) 715-3610.

Contact Information

Primary practice address
2002 12Th Ave Nw Ste C Ardmore OK 73401-1206
Phone: (405) 715-3610
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0089907 Oklahoma

Profile Details

NPI number 1780968529
LBN Legal business name Potts, Jaclyn Suzanne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2011
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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