Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYISHA G POTTER, RN
Active Sole ProprietorTYISHA G POTTER, RN is a Hospice Nurse healthcare provider located in LONG ISLAND CITY, New York. NPI 1104785278 is currently active in the NPPES registry. Verify at CMS.
Hospice Nurse · LONG ISLAND CITY, NY
Registration Details
- NPI Number
- 1104785278
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 15, 2026 (0.606852561636 yrs)
- Last Updated
- Jan 15, 2026
- License
-
597392 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3030 43RD STLONG ISLAND CITY, NY, 111032646Browse NY providers · Browse ZIP 11103
- Phone
- 7184721999
- Primary Specialty
-
Hospice Nurse
163WH1000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.