Individual
MS. STANNA J POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1340 S WALDRON RD, FORT SMITH, AR 72903-2556
(479) 452-5040
(479) 452-5047
Mailing address
PO BOX 23070, BARLING, AR 72923-0070
(479) 452-5040
(479) 452-5047
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R25478
AR
Other
Enumeration date
08/30/2006
Last updated
02/14/2012
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