Potynsky, Jacquelyn Elizabeth

Potynsky, Jacquelyn Elizabeth is an individual health care provider with primary practice located at 4208 Murdocksville Rd , West End NC 27376-8871. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Potynsky, Jacquelyn Elizabeth can be contacted via phone (910) 235-5900.

Contact Information

Primary practice address
4208 Murdocksville Rd West End NC 27376-8871
Phone: (910) 235-5900
Fax: (910) 420-1606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X NC0010-05796 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110005162 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X NC0010-05796 North Carolina

Profile Details

NPI number 1346622891
LBN Legal business name Potynsky, Jacquelyn Elizabeth
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2015
Last updated Oct 18th, 2023 - about 3 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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