Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN FAYE POTTS
Active Sole ProprietorNurse's Aide · GRANDVIEW, MO
Registration Details
- NPI Number
- 1194909200
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 26, 2007 (18.331904295942 yrs)
- Last Updated
- Dec 26, 2007
- License
-
111669 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7813 E 130TH CTGRANDVIEW, MO, 640302729Browse MO providers · Browse ZIP 64030
- Phone
- 8169660048
- Primary Specialty
-
Nurse's Aide
376K00000X
Other Nurse's Aide Providers in GRANDVIEW, MO
| Name | Credential | NPI |
|---|---|---|
| AMELIA GREENE | CNA | 1437968740 |
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.