| Doctor Name: | PATRICIA POTTS |
| NPI Number: | 1962807388 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 2014035644 |
| Business Practice Address: | 409 W Auberry Grv Jamesport, MO - 646487189 |
| Business Phone Number: | 6606846252 |
| Business Fax Number: | 6606846254 |
| Mailing Address: | 1600 E Evergreen St, CAMERON |
| State: | MO |
| Postal Code: | 644292400 |
| Phone Number: | 8166322101 |
| Fax Number: | 8166493383 |
| NPI Enumeration Date: | 10/28/2014 |
| NPI Last Update Date: | 10/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2014035644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |