Jacquelyn Elizabeth Potynsky, PA-C, ATC
Jacquelyn Elizabeth Potynsky, PA-C, ATC is a Physician Assistant in West End, North Carolina. Qualified in 2015, 11 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Virginia.
- Years since qualifying
- 11
- Licensed in
- NC, VA
- In the registry since
- 2015
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
4208 Murdocksville RdWest End, NC 27376-8871
Phone: (910) 235-5900
Fax: (910) 420-1606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence NC0010-05796 (NC) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence NC0010-05796 (NC) |
| Physician Assistant | Taxonomy 363A00000X · Licence 0110005162 (VA) |
Record details
| NPI number | 1346622891 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C , ATC |
| Sole proprietor | No |
| NPI enumerated | June 22, 2015 |
| Last updated in NPPES | October 18, 2023 |
| Certification date | October 18, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Legacy Healthcare Services Inc — 3624 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 7 on file with Medicare |
Other providers in West End
-
Noreen Russo, PA
4204 Murdocksville Rd, West End, NC 27376-8871 · (910) 255-0055