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Contact Information

JACLYN S POTTS APRN-CRNA PC
2002 12TH AVE NW STE C
ARDMORE, OK73401-1206
 Phone: 405-715-3610
 Fax: 405-715-3612
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for JACLYN S POTTS APRN CRNA PC · (Female)

NPI # 1013358647
Status Active
Credentials
Entity Individual
Enumeration date 07/11/2013
Last updated 10/31/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # R0089907
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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