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Pauls Valley Family Healthcare Aprn Fnp-Bc LLC

Primary Care Clinic/Center in Pauls Valley, OK · enumerated 2023 · authorized official Scotty Jackson, Nurse Practitioner / Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407553597

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Registry record

Entity type Organization (Type 2)
Legal business name Pauls Valley Family Healthcare Aprn Fnp-Bc LLC
Practice address 34550 Airline Rd, Pauls Valley, OK, 73075
Phone (405) 207-9238
Fax (405) 207-9240
Enumeration date Feb 9, 2023
Last updated in NPPES Apr 20, 2023

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Scotty Jackson
Title Nurse Practitioner / Owner
Phone (405) 207-9238

Other identifiers

Identifier Type State Issuer
211329 Other OK OKLAHOMA STATE BOARD OF NURSING

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Pauls Valley Family Healthcare Aprn Fnp-Bc LLC?
NPPES lists Scotty Jackson (Nurse Practitioner / Owner) as the authorized official for this organization.
What is the NPI number for Pauls Valley Family Healthcare Aprn Fnp-Bc LLC?
The NPI for Pauls Valley Family Healthcare Aprn Fnp-Bc LLC is 1407553597, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-20.