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Contact Information

JACKSON B POTTS II, RN, BSN
5012 DUVAL ST APT 103
AUSTIN, TX78751-2550
 Phone: 713-344-0415
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuroscience

163WN0800X
Indicates primary specialty

NPI Profile & details for JACKSON B POTTS II · (Male)

NPI Number 1275480352
Status Active
Credentials RN, BSN
Entity Individual
Enumeration date 03/16/2026
Last updated 03/16/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • TX License # 1211299
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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