OrganizationActive
Black River Anesthesia, PLC
NPI 1124174271 · Certified Registered Nurse Anesthetist · Pocahontas, AR
Provider details
- NPI number
- 1124174271
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Susan Wyatt, Office Manager
- License
- C00474 CRNA (AR)
Practice location
2801 Medical Center Dr
Pocahontas, AR 72455-9436
Phone: (870) 972-8053
Fax: (870) 972-8053
Mailing address
Po Box 1288
Jonesboro, AR 72403-1288
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.