Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTTY JACKSON, FNP-BC
Active Sole ProprietorSCOTTY JACKSON, FNP-BC is a Family Nurse Practitioner healthcare provider located in PAULS VALLEY, Oklahoma. NPI 1750095980 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · PAULS VALLEY, OK
Registration Details
- NPI Number
- 1750095980
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2023 (3.55438699698 yrs)
- Last Updated
- Jul 11, 2023
- Licenses
-
R0078720 (OK)211329 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
34550 AIRLINE RDPAULS VALLEY, OK, 730759337Browse OK providers · Browse ZIP 73075
- Phone
- 4052079238
- Fax
- 4052079240
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in PAULS VALLEY, OK
| Name | Credential | NPI |
|---|---|---|
| DEANA KAY ANDREWS | ARNP | 1659679447 |
| MARY MELINDA DENNIS | APRN-CNP | 1164831574 |
| MS. SHELLY RAE RUSSEFF | APRN-CNP | 1053710053 |
| LETITIA LYNN JACKSON | APRN-CNP | 1063812634 |
| MEGAN POWERS | APRN-CNP | 1598216830 |
| MICHELLE MARTIN | — | 1144741661 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.