Individual provider · Type 1 NPI
Jason Potter, SRNA
Student in an Organized Health Care Education/Training Program · St. Clair Shores, MI
NPI number
1265377618
Active
Practice location
22200 Masonic Blvd
St. Clair Shores, MI 48082-2903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 4704361966 (MI) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1265377618
Jason Potter, SRNA's National Provider Identifier is 1265377618, issued on Apr 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Apr 22, 2026.