Individual
JACLYN SHOTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
955 N 21ST ST, NEWARK, OH 43055-2921
(740) 366-9082
Mailing address
8910 BROAD ST SW, PATASKALA, OH 43062-7886
(740) 927-6705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021259
OH
Other
Enumeration date
08/04/2017
Last updated
10/05/2022
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