Individual
JOANNA POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 E CHESTNUT AVE, PONCA CITY, OK 74601-4311
(580) 763-6017
(580) 763-6059
Mailing address
201 E CHESTNUT AVE, PONCA CITY, OK 74601-4311
(580) 763-6017
(580) 763-6059
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R 0089621
OK
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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