Individual
DELANA E POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
36 BRENTSHIRE SQ, JACKSON, TN 38305-2245
(731) 664-1717
(731) 664-7114
Mailing address
1318 CAPOOTH RD, RAMER, TN 38367-6163
(731) 693-4858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0000010789
TX
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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