NPI 1013358647

Jaclyn S Potts Aprn-Crna PC

Organisation Certified Registered Nurse Anesthetist Ardmore, OK

Practice location

Address: 2002 12th Ave NW STE C, Ardmore, OK 73401-1206
Phone: (405) 715-3610
Fax: (405) 715-3612
Mailing address: P.O. Box 268988, Oklahoma City, OK 73126

Authorised official

Name: Jaclyn S Potts
Title: President
Phone: (405) 715-3610

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R0089907 (OK)

Other Nurse Anesthetist, Certified Registered providers in Oklahoma →

Registry record

NPI: 1013358647
Entity type: Organization
NPI issued: 11 Jul 2013
Record last updated: 31 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.