Provider / Organization | NPI | Date Certified |
---|---|---|
KIMBER LEANN POTTS | 1891452280 | 2021-11-20 |
Kimber Leann Potts is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1891452280. Registration indicates Kimber Leann Potts is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Kimber Leann Potts NP-C |
Practice Office Address | 1 MEDICAL CENTER BLVD WINSTON SALEM, NC US |
Practice Office Telephone | 3367169124 |
Mailing Address | MEDICAL CENTER BLVD WINSTON SALEM, NC 271570001 US |
Business Telephone | 3367166674 |
Business Fax | 3367169188 |
Code | Practice | License No State |
---|---|---|
363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 5015400
NC |