Potter, Jennifer Mae

Potter, Jennifer Mae is an individual health care provider with primary practice located at 500 Arcade Ave Ste 200 , Elkhart IN 46514-2485. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Potter, Jennifer Mae can be contacted via phone (574) 294-8404.

Contact Information

Primary practice address
500 Arcade Ave Ste 200 Elkhart IN 46514-2485
Phone: (574) 294-8404
Fax: (574) 523-1642
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71004185A Indiana

Profile Details

NPI number 1417209347
LBN Legal business name Potter, Jennifer Mae
Credentials MS, ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2012
Last updated May 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417209347 NPPES
Indiana MEDICAID 201271860

Popular Providers