1. Home
  2. Directory
  3. NPI Profile

MRS. KIMBERLY LYNN POTTER LPN
NPI 1790110096
Licensed Practical Nurse in Jeffersonville, OH

Active since September 05, 2013
47 DARBYSHIRE DR, JEFFERSONVILLE, OH 43128(740) 505-8149 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kimberly Lynn Potter Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY LYNN POTTER LPN (NPI 1790110096) is an individual licensed practical nurse in Jeffersonville, Ohio, licensed in Ohio (PN-145259-M-IV) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1790110096
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KIMBERLY LYNN POTTERCredential: LPN
Location Address47 DARBYSHIRE DRJeffersonville, OH 43128-1104
Mailing Address47 Darbyshire DrJeffersonville, OH 43128-1104 · (740) 505-8149
Phone(740) 505-8149
Sole ProprietorYes
Enumeration DateSeptember 5, 2013
✔ NPI 1790110096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · PN-145259-M-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
47 DARBYSHIRE DR, Jeffersonville, OH 43128
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Potter's NPI number?

The NPI number for Kimberly Potter is 1790110096. It was assigned to this individual provider in the NPPES registry on September 5, 2013.

Where is Kimberly Potter located?

Kimberly Potter practices at 47 Darbyshire Dr, Jeffersonville, OH 43128. The listed phone number is (740) 505-8149.

What is Kimberly Potter's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Potter was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.