Provider Demographics
NPI:1851968499
Name:POTTER, KAYLA (DNP, PMHNP)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:
Last Name:POTTER
Suffix:
Gender:F
Credentials:DNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 SUNSET LN STE 4230
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3300
Mailing Address - Country:US
Mailing Address - Phone:540-616-2312
Mailing Address - Fax:540-274-9440
Practice Address - Street 1:1400 SUNSET LN STE 4230
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3300
Practice Address - Country:US
Practice Address - Phone:540-616-2312
Practice Address - Fax:540-274-9440
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024181572363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health