Doctor Name: | JANNA LINDSEY POTTER |
NPI Number: | 1174962575 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP |
License Number: | 5006668 |
Business Practice Address: | 78 Medical Center Dr Fishersville, VA - 229392332 |
Business Phone Number: | 5403324000 |
Business Fax Number: | |
Mailing Address: | 429 Campbell St, STAUNTON |
State: | VA |
Postal Code: | 244015071 |
Phone Number: | 5405690858 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2013 |
NPI Last Update Date: | 01/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5006668 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |