Individual
MRS. KRISTEN ELIZABETH POTERACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
4192 SALEM RD, COVINGTON, GA 30016
(866) 389-2727
Mailing address
4192 SALEM RD, COVINGTON, GA 30016-4532
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN224339
GA
Other
Enumeration date
02/13/2018
Last updated
07/28/2019
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