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Contact Information

JENNIFER B POTTER, PA
7777 FOREST LN
BUILDING D, SUITE 400
DALLAS, TX75230-2505
 Phone: 972-566-7790
 Fax: 972-566-5819
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER B POTTER · (Female)

NPI Number 1437190543
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/09/2006
Last updated 05/18/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA04401
  • TX Medicaid 181617501
  • TX Medicaid 181617502
  • TX Other P01824297 RAILROAD
Hospital affiliation(s)
  • BAYLOR REGIONAL MEDICAL CENTER AT PLANO - (Acute Care)
    4700 ALLIANCE BOULEVARD
    PLANO, TX 75093
  • THE HEART HOSPITAL BAYLOR PLANO - (Acute Care)
    1100 ALLIED DRIVE
    PLANO, TX 75093
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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