Mrs Jenny Lee Potter, APRN | |
14948 Grassy Knoll Ct, Woodbridge, VA 22193-6002 | |
(440) 212-9073 | |
Not Available |
Full Name | Mrs Jenny Lee Potter |
---|---|
Gender | Female |
Speciality | Gastroenterology |
Experience | 5 Years |
Location | 14948 Grassy Knoll Ct, Woodbridge, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275152035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9999999 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mary Washington Hospital | Fredericksburg, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mary Washington Medical Group Hospitalist Services, Llc | 1456629369 | 74 |
Entity Name | Fall Hill Gastroenterology Associates, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902991151 PECOS PAC ID: 7012019581 Enrollment ID: O20070301000589 |
Entity Name | Mary Washington Medical Group Hospitalist Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750826277 PECOS PAC ID: 1456629369 Enrollment ID: O20170619001149 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jenny Lee Potter, APRN 14948 Grassy Knoll Ct, Woodbridge, VA 22193-6002 Ph: (440) 212-9073 | Mrs Jenny Lee Potter, APRN 14948 Grassy Knoll Ct, Woodbridge, VA 22193-6002 Ph: (440) 212-9073 |
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