Jacquelyn Faye Potts

NPI #1194909200 in Grandview, Missouri

Provider Information

NPI Number: 1194909200
Entity Type: Individual
Name: Jacquelyn Faye Potts
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse's Aide
Enumeration Date: Dec 26, 2007
Last Updated: Dec 26, 2007

Practice Location

Address: 7813 E 130TH CT
City: Grandview
State: Missouri
ZIP Code: 64030-2729
Phone: (816) 966-0048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse's Aide	376K00000X	Primary

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