Scotty Jackson, FNP-BC

NPI 1750095980 · on the registry since 2023 · sole proprietor

Practice

Address: 34550 Airline Rd
Pauls Valley, OK 73075
Phone: (405) 207-9238
Fax: (405) 207-9240
Organisation at this address: Pauls Valley Family Healthcare Aprn Fnp-Bc Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 363LF0000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma