Jillian Potter

Individual provider Active NPI Doula · Williamsport, MD

NPI 1114755238 · NPPES record last updated Jul 22, 2024

Key facts

NPI
1114755238
Entity type
Individual (NPI type 1)
Primary specialty
Doula 374J00000X
Practice address
16525 Tammany LN
Williamsport, MD 21795-1319
Phone
(240) 329-6298
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Birth Services, LLC Current
since Jul 28, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Yes

Addresses

Primary practice location

16525 Tammany LN
Williamsport, MD 21795-1319

Mailing address

16525 Tammany LN
Williamsport, MD 21795-1319
Phone (240) 329-6298

Other providers in Williamsport, MD

All providers in Williamsport, MD · Doula in Maryland

Sources for this page

Verify at the official NPI Registry.