Individual
JOANNA POTTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19415 DEERFIELD AVENUE, SUITE 112, LEESBURG, VA 20176-8470
(703) 724-1195
(703) 724-4495
Mailing address
224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024181138
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649855016
—
VA
05
—
30017703540001
—
VA
Enumeration date
03/16/2021
Last updated
02/13/2024
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