Healthcare Provider Details

I. General information

NPI: 1457281479
Provider Name (Legal Business Name): RAYYAAN POTTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7533 ARUNDEL WOODS DR
JESSUP MD
20794-3257
US

IV. Provider business mailing address

7533 ARUNDEL WOODS DR
JESSUP MD
20794-3257
US

V. Phone/Fax

Practice location:
  • Phone: 301-346-7676
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: