Individual
DEANNA JEAN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1735 27TH ST STE 108, PORTSMOUTH, OH 45662-2679
(740) 356-6891
(740) 356-1280
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8008
(740) 356-1280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.026411
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0413875
—
OH
Enumeration date
08/13/2020
Last updated
04/13/2023
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