Potter, Jade A
Potter, Jade A is an sole proprietor health care provider with primary practice located at 520 W Summit Hill Dr Ste 601 , Knoxville TN 37902-2004. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Potter, Jade A can be contacted via phone (865) 505-0880.Contact Information
Primary practice address
520 W Summit Hill Dr Ste 601
Knoxville TN 37902-2004
Phone: (865) 505-0880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Lactation Consultant | 163WL0100X | 231223 | Tennessee |
Profile Details
| NPI number | 1871240903 |
|---|---|
| LBN Legal business name | Potter, Jade A |
| Credentials | RN, IBCLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2022 |
| Last updated | Mar 8th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871240903 | NPPES |
| Other | L-302373 | IBCLC |
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