| NPI | 1467938936 |
|---|---|
| Former Name | JESSICA POTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 6907997-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 6907997-4405) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 6907997-4405) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2023-07-18 |