Organization
JACLYN S POTTS APRN-CRNA PC
Active
Other names
South Central Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN S POTTS CRNA (PRESIDENT)
(405) 715-3610
Entity
Organization
Contact information
Practice address
2002 12TH AVE NW STE C, ARDMORE, OK 73401-1206
(405) 715-3610
(405) 715-3612
Mailing address
P.O. BOX 268988, OKLAHOMA CITY, OK 73126
(405) 715-3610
(405) 715-3612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0089907
OK
Other
Enumeration date
07/11/2013
Last updated
10/31/2018
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