Individual
JENNIFER MAE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ANP-BC
Contact information
Practice address
500 ARCADE AVE STE 200, ELKHART, IN 46514-2485
(574) 294-8404
(574) 523-1642
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2713
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71004185A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201271860
—
IN
Enumeration date
10/02/2012
Last updated
04/29/2026
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