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NPI Code Detail

MEDICARE: JANSKEY POTTS

MEDICARE: JANSKEY POTTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1902768468
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANSKEY POTTS
Provider Business Mailing Address
First Line : 4780 I 55 N STE 105
Second Line :
City : JACKSON
State : MS
Zip : 39211-5542
Country : US
Telephone Number : 601-956-4816
Fax Number : 601-956-4817
Provider Business Practice Location Address
First Line : 4780 I 55 N STE 105
Second Line :
City : JACKSON
State : MS
Zip : 39211-5542
Country : US
Telephone Number : 601-956-4816
Fax Number : 601-956-4817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

Similar Medicare Providers

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4780 I 55 N STE 105
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1639353592 — KEANDREA JACKSON M.A.
Practice Location Address:
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1548697121 — SHIRLEY JONES MSW, CMHT
Practice Location Address:
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1346624350 — MARION TYLER
Practice Location Address:
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Directions to “ JANSKEY POTTS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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