Individual provider · Type 1 NPI

Jordan Elise Potter, DO

Student in an Organized Health Care Education/Training Program · Temple, TX

NPI number 1629508668 Active

Practice location

2401 S 31st St
Temple, TX 76508-0001

Call (254) 724-2364 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1629508668

Jordan Elise Potter, DO's National Provider Identifier is 1629508668, issued on Jun 13, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Temple, TX. The record was last updated on Jun 13, 2017.