Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Potter, SRNA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265377618

Jason Potter, SRNA is a Student in an Organized Health Care Education/Training Program in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

22200 Masonic Blvd
Saint Clair Shores, MI 48082-2903
Phone: (586) 718-2188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4704361966 (MI)

Record details

NPI number1265377618
Entity typeIndividual (Type 1)
GenderMale
Credentials SRNA
Sole proprietorNo
NPI enumeratedApril 22, 2026
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address22200 Masonic Blvd, Saint Clair Shores, MI 48082-2903

Other providers in Saint Clair Shores